OLIVIA ESTHER PATCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

CANCELLED

Business

Title

First Name

OLIVIA

Middle

ESTHER

Last Name

PATCH

Business Name

OLIVIA ESTHER PATCH MD

Original Issue Date

08/13/1987

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020