ERIC EUGENE WHITAKER MD 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

ERIC EUGENE

Last Name

WHITAKER

Suffix

Business Name

ERIC EUGENE WHITAKER MD

Original Issue Date

11/14/1996

Effective Date

11/14/1996

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017