DAVID WILLIAM PRUITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WILLIAM

Last Name

PRUITT

Suffix

Business Name

DAVID WILLIAM PRUITT MD

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008