SURRENTHIA R PARKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

SURRENTHIA R

Last Name

PARKER MD

Business Name

SURRENTHIA R PARKER MD

Original Issue Date

07/13/1993

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020