MARY JANE T BARTH 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

MARY JANE T

Last Name

BARTH

Suffix

Business Name

MARY JANE T BARTH MD

Original Issue Date

07/07/1995

Effective Date

05/23/2008

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017