NELLIE CUDAL DEFENSOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

NELLIE CUDAL

Last Name

DEFENSOR

Suffix

Business Name

NELLIE CUDAL DEFENSOR MD

Original Issue Date

11/01/1984

Effective Date

11/01/1984

Expiration Date

07/31/2008

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008