EDITH D HARTMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

CANCELLED

Business

First Name

EDITH D

Last Name

HARTMAN

Suffix

Business Name

EDITH D HARTMAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008