SEPTEMBER DOROTHEA WILLIAMS 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

SEPTEMBER

Middle

DOROTHEA

Last Name

WILLIAMS

Business Name

SEPTEMBER DOROTHEA WILLIAMS

Original Issue Date

09/30/1986

Effective Date

09/30/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006