ARDEN WALDMAN-FUSMAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

CANCELLED

Business

First Name

ARDEN

Last Name

WALDMAN-FUSMAN

Business Name

ARDEN WALDMAN-FUSMAN

Original Issue Date

03/04/1994

Effective Date

03/04/1994

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60203

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006