CARMELLA D PERCY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

CARMELLA

Middle

Last Name

PERCY

Business Name

CARMELLA D PERCY DO

Original Issue Date

06/15/2015

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021