PAULA URCELYN AGNIS DAWSON 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

First Name

PAULA

Middle

URCELYN AGNIS

Last Name

DAWSON

Suffix

Business Name

PAULA URCELYN AGNIS DAWSON MD

Original Issue Date

05/24/2007

Effective Date

05/24/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008