AMANDA KAY MYERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

KAY

Last Name

MYERS

Business Name

AMANDA KAY MYERS MD

Original Issue Date

01/10/2007

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020