CAROLYN MICKUS HARTMAN 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

CAROLYN MICKUS

Last Name

HARTMAN

Suffix

Business Name

CAROLYN MICKUS HARTMAN MD

Original Issue Date

09/11/1987

Effective Date

09/11/1987

Expiration Date

07/31/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006