RUSSEL B COUTINHO 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

RUSSEL B

Last Name

COUTINHO

Business Name

RUSSEL B COUTINHO

Original Issue Date

12/11/1990

Effective Date

12/11/1990

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008