AMANDA DAVET MARSHALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

DAVET

Last Name

MARSHALL

Suffix

Business Name

AMANDA DAVET MARSHALL MD

Original Issue Date

08/17/2005

Effective Date

08/17/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017