AGNES MARIE FLAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

AGNES

Middle

MARIE

Last Name

FLAUM

Suffix

Business Name

AGNES MARIE FLAUM MD

Original Issue Date

09/04/2009

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017