ASRIANI MARISA CHIU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

ASRIANI MARISA

Last Name

CHIU

Suffix

Business Name

ASRIANI MARISA CHIU MD

Original Issue Date

08/15/1997

Effective Date

08/15/1997

Expiration Date

07/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008