ALICJA RYMUT PRESTEGAARD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

ALICJA

Middle

RYMUT

Last Name

PRESTEGAARD

Business Name

ALICJA RYMUT PRESTEGAARD

Original Issue Date

03/03/1997

Effective Date

03/03/1997

Expiration Date

07/31/2002

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011