NOEL DAVID LIST 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

NOEL DAVID

Last Name

LIST

Suffix

Business Name

NOEL DAVID LIST MD

Original Issue Date

09/23/1988

Effective Date

09/23/1988

Expiration Date

07/31/1996

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006