CLARE ELAINE CLOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

CLARE

Middle

ELAINE

Last Name

Suffix

Business Name

CLARE ELAINE CLOSE MD

Original Issue Date

03/24/2004

Effective Date

03/24/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011