MIRIAM ANN KALICHMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

MIRIAM ANN

Last Name

KALICHMAN

Suffix

Business Name

MIRIAM ANN KALICHMAN MD

Original Issue Date

07/14/1987

Effective Date

07/14/1987

Expiration Date

07/31/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017