ANASTASSIA N AMARO 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

First Name

ANASTASSIA

Middle

Last Name

AMARO

Business Name

ANASTASSIA N AMARO

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

07/31/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006