ANNA M UITVLUGT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

ANNA M

Last Name

UITVLUGT

Suffix

Business Name

ANNA M UITVLUGT MD

Original Issue Date

01/30/1986

Effective Date

01/30/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006