DAVID LYN STURDIVANT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

DAVID LYN

Last Name

STURDIVANT

Suffix

Business Name

DAVID LYN STURDIVANT DO

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006