SHEILA R EICHENSEER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

SHEILA

Middle

Last Name

EICHENSEER

Business Name

SHEILA R EICHENSEER

Original Issue Date

06/17/2011

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014