CURTIS LOREN CORNELLA-CARLSON 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

First Name

CURTIS LOREN

Last Name

CORNELLA-CARLSON

Business Name

CURTIS LOREN CORNELLA-CARLSON

Original Issue Date

06/15/1989

Effective Date

06/15/1989

Expiration Date

07/31/2002

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006