WILLIE JAMES 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

Title

First Name

WILLIE

Middle

JAMES

Last Name

PARKER

Business Name

WILLIE JAMES PARKER MD

Original Issue Date

12/21/2012

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017