ANGELA S MADURA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

ANGELA S

Last Name

MADURA

Business Name

ANGELA S MADURA

Original Issue Date

10/07/1996

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017