MICHAEL R TODD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

TODD

Business Name

MICHAEL R TODD

Original Issue Date

11/29/2004

Effective Date

11/29/2004

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008