EDWARD ANGUS DUCKWORTH 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

EDWARD

Middle

ANGUS

Last Name

DUCKWORTH

Suffix

Business Name

EDWARD ANGUS DUCKWORTH MD

Original Issue Date

05/10/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011