JODI S CARBONE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JODI S

Last Name

CARBONE

Business Name

JODI S CARBONE

Original Issue Date

09/26/1991

Effective Date

09/26/1991

Expiration Date

07/31/2002

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006