ANGELA MARGARET INGRAHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

CANCELLED

Business

Title

First Name

ANGELA

Middle

MARGARET

Last Name

INGRAHAM

Business Name

ANGELA MARGARET INGRAHAM MD

Original Issue Date

12/04/2008

Effective Date

12/04/2008

Expiration Date

07/31/2011

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011