AMY LYNNE HALVERSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

AMY

Middle

LYNNE

Last Name

HALVERSON

Business Name

AMY LYNNE HALVERSON

Original Issue Date

07/12/2001

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023