MARILIYN DOLORES EZRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

MARILIYN

Middle

DOLORES

Last Name

EZRI

Suffix

Business Name

MARILIYN DOLORES EZRI MD

Original Issue Date

09/16/1981

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023