MILROY S EMMANUEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MILROY S

Last Name

EMMANUEL

Suffix

Business Name

MILROY S EMMANUEL MD

Original Issue Date

07/31/1990

Effective Date

07/31/1990

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020