ALISSA A JOHNSTON O'HAGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

ALISSA

Middle

Last Name

JOHNSTON O'HAGAN

Suffix

Business Name

ALISSA A JOHNSTON O'HAGAN MD

Original Issue Date

03/18/2010

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014