ALYSIA CRUTCHFIELD OGBURIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

ALYSIA

Middle

CRUTCHFIELD

Last Name

OGBURIA

Suffix

Business Name

ALYSIA CRUTCHFIELD OGBURIA MD

Original Issue Date

06/13/2007

Effective Date

06/13/2007

Expiration Date

07/31/2008

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008