JOHN JOSEPH BIRD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

CANCELLED

Business

First Name

JOHN JOSEPH

Last Name

BIRD

Suffix

Business Name

JOHN JOSEPH BIRD MD

Original Issue Date

04/11/1983

Effective Date

04/11/1983

Expiration Date

07/31/2008

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008