MICHAEL EDMUND OFFUTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

EDMUND

Last Name

OFFUTT

Business Name

MICHAEL EDMUND OFFUTT MD

Original Issue Date

05/10/2022

Effective Date

05/10/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023