EILEEN K CARPENTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

EILEEN K

Last Name

CARPENTER

Suffix

Business Name

EILEEN K CARPENTER MD

Original Issue Date

06/24/1986

Effective Date

06/24/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006