ALAN MARSHALL ROMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

ALAN MARSHALL

Last Name

ROMAN

Suffix

Business Name

ALAN MARSHALL ROMAN MD

Original Issue Date

05/13/1996

Effective Date

05/13/1996

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020