ALLISON WIERDA SUTTLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

ALLISON

Middle

WIERDA

Last Name

SUTTLE

Business Name

ALLISON WIERDA SUTTLE MD

Original Issue Date

08/18/1999

Effective Date

08/18/1999

Expiration Date

07/31/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006