JOSHUA D MEZRICH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

CANCELLED

Business

First Name

JOSHUA

Middle

Last Name

MEZRICH

Business Name

JOSHUA D MEZRICH

Original Issue Date

02/19/2003

Effective Date

02/19/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006