EARNESTINE WILLIS 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

EARNESTINE

Last Name

WILLIS

Suffix

Business Name

EARNESTINE WILLIS MD

Original Issue Date

03/22/1982

Effective Date

03/22/1982

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006