MARC E MUNOZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

MARC

Middle

Last Name

MUNOZ

Business Name

MARC E MUNOZ

Original Issue Date

11/10/2003

Effective Date

11/10/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006