EVERETT DONALD MCKISSIC 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

EVERETT DONALD

Last Name

MCKISSIC

Suffix

Business Name

EVERETT DONALD MCKISSIC MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011