MARIAN J R MCEWEN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

CANCELLED

Business

First Name

MARIAN

Middle

J R

Last Name

MCEWEN

Business Name

MARIAN J R MCEWEN

Original Issue Date

09/08/2004

Effective Date

09/08/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008