MICHAEL GERARD CLOSE MD 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

Title

First Name

MICHAEL

Middle

GERARD

Last Name

Business Name

MICHAEL GERARD CLOSE MD

Original Issue Date

06/25/1993

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2013007632

Action

Suspension

Discipline Start Date

04/18/2014

Discipline Reason

after he surrendered his DEA Registration for his failure to account and secure Controlled Substances in his private practice.