MARY E CHRISTIAANSE 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

MARY E

Last Name

CHRISTIAANSE

Business Name

MARY E CHRISTIAANSE

Original Issue Date

03/27/1985

Effective Date

03/27/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006