MYRTLE OATES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

MYRTLE

Last Name

OATES

Business Name

MYRTLE OATES

Original Issue Date

12/19/1995

Effective Date

12/19/1995

Expiration Date

07/31/1996

City

MANTENO

State

Zip

60950

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006