PAMELA MARIE PERSAK MD 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

Title

First Name

PAMELA

Middle

MARIE

Last Name

PERSAK

Business Name

PAMELA MARIE PERSAK MD

Original Issue Date

05/19/1997

Effective Date

05/19/1997

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020