TODD J NEGA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

NEGA

Business Name

TODD J NEGA

Original Issue Date

02/28/2008

Effective Date

02/28/2008

Expiration Date

07/31/2008

City

CHCIAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020