DIETER ROLAND ENZMANN 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

DIETER ROLAND

Last Name

ENZMANN

Suffix

Business Name

DIETER ROLAND ENZMANN MD

Original Issue Date

03/20/1997

Effective Date

03/20/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006