AUDREY ELISABETH NOLTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

ELISABETH

Last Name

NOLTEN

Suffix

Business Name

AUDREY ELISABETH NOLTEN MD

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006