ASHLEY NOELLE THERASSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

ASHLEY

Middle

NOELLE

Last Name

THERASSE

Business Name

ASHLEY NOELLE THERASSE MD

Original Issue Date

08/17/2012

Effective Date

08/17/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017