ALICE NATALIE HACKETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

ALICE

Middle

NATALIE

Last Name

HACKETT

Business Name

ALICE NATALIE HACKETT MD

Original Issue Date

07/27/2018

Effective Date

07/27/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021