IRENE MARIE HOTALEN 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

Title

First Name

IRENE

Middle

MARIE

Last Name

HOTALEN

Business Name

IRENE MARIE HOTALEN MD

Original Issue Date

01/04/2017

Effective Date

01/04/2017

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017