MYRIAM MANUELA LALLINGER 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

MYRIAM

Middle

MANUELA

Last Name

LALLINGER

Business Name

MYRIAM MANUELA LALLINGER MD

Original Issue Date

02/07/2013

Effective Date

02/07/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017