MIRIAM K WHITELEY 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

MIRIAM K

Last Name

WHITELEY

Suffix

Business Name

MIRIAM K WHITELEY MD

Original Issue Date

05/26/1994

Effective Date

05/26/1994

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020