AMELIA LUCY BOTSFORD SANTOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

AMELIA

Middle

LUCY BOTSFORD

Last Name

SANTOS

Business Name

AMELIA LUCY BOTSFORD SANTOS MD

Original Issue Date

06/30/2011

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014