EMI MASUI SCALA 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

EMI

Last Name

MASUI SCALA

Business Name

EMI MASUI SCALA

Original Issue Date

12/06/2004

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017