AMY JO URBATSCH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

CANCELLED

Business

First Name

AMY

Middle

Last Name

URBATSCH

Business Name

AMY JO URBATSCH

Original Issue Date

05/04/2000

Effective Date

05/04/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006