BARRY STEEN MAROLT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

Title

First Name

BARRY

Last Name

STEEN MAROLT

Business Name

BARRY STEEN MAROLT DO

Original Issue Date

01/21/2016

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021