BARRY MITCHELL STORTER 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

First Name

BARRY MITCHELL

Last Name

STORTER

Suffix

Business Name

BARRY MITCHELL STORTER MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006