LAIRD D MADISON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

LAIRD D

Last Name

MADISON

Suffix

Business Name

LAIRD D MADISON MD

Original Issue Date

09/22/1993

Effective Date

09/22/1993

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006