JAMES L EBAUGH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

CANCELLED

Business

First Name

JAMES

Middle

Last Name

EBAUGH

Suffix

Business Name

JAMES L EBAUGH MD

Original Issue Date

06/01/2000

Effective Date

06/01/2000

Expiration Date

07/31/2002

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006