CASSANDRA R LALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

CASSANDRA

Middle

Last Name

LALL

Business Name

CASSANDRA R LALL MD

Original Issue Date

12/06/2011

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017