ADRIENNE L PRENTISS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

Last Name

PRENTISS

Business Name

ADRIENNE L PRENTISS

Original Issue Date

08/17/1998

Effective Date

08/17/1998

Expiration Date

07/31/2002

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006