EUGENE M LANDRUM III MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****58

NOT RENEWED

N

EUGENE M

LANDRUM III

MD

EUGENE M LANDRUM III MD

02/09/1983

02/09/1983

07/31/1996

CHICAGO

IL

60607

COOK

II III IV V

Y

03/24/2007

1987001156

Probation

10/20/1992

11/04/1994

Probation extended until August 1995 after violating a previous probation.