VEENA MYSORE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

VEENA

Last Name

MYSORE

Business Name

VEENA MYSORE

Original Issue Date

09/18/2000

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011