ANNA M DUSICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

ANNA M

Last Name

DUSICK

Suffix

Business Name

ANNA M DUSICK MD

Original Issue Date

09/14/1988

Effective Date

09/14/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006