BOOKER THEODORE EVANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

BOOKER

Middle

THEODORE

Last Name

EVANS

Suffix

Business Name

BOOKER THEODORE EVANS MD

Original Issue Date

10/23/1998

Effective Date

10/23/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006