GENTIAN LLURI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

GENTIAN

Last Name

LLURI

Business Name

GENTIAN LLURI

Original Issue Date

08/27/2010

Effective Date

08/27/2010

Expiration Date

07/31/2011

City

ADDISON

State

Zip

60101

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011