TRUDY FOX EISENMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

TRUDY

Middle

FOX

Last Name

EISENMAN

Suffix

Business Name

TRUDY FOX EISENMAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011