JANE L H C THIRD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

JANE

Middle

L H C

Last Name

THIRD

Suffix

Business Name

JANE L H C THIRD MD

Original Issue Date

08/14/1987

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017