CYNTHIA LORRAINE BODDIE-WILLIS 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

CYNTHIA LORRAINE

Last Name

BODDIE-WILLIS

Business Name

CYNTHIA LORRAINE BODDIE-WILLIS

Original Issue Date

04/09/1982

Effective Date

04/09/1982

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006