NATALIE ELIZABETH BOODIN 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

NATALIE

Middle

ELIZABETH

Last Name

BOODIN

Suffix

Business Name

NATALIE ELIZABETH BOODIN MD

Original Issue Date

03/29/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011