ADAM HENRY ISADORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

HENRY

Last Name

ISADORE

Business Name

ADAM HENRY ISADORE MD

Original Issue Date

08/13/2014

Effective Date

08/13/2014

Expiration Date

07/31/2017

City

SAINT CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/01/2017