POLLY J WATSON 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

POLLY

Middle

Last Name

WATSON

Business Name

POLLY J WATSON

Original Issue Date

03/23/2004

Effective Date

03/23/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006