DEBRA RAE GIERUT 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

DEBRA RAE

Last Name

GIERUT

Business Name

DEBRA RAE GIERUT

Original Issue Date

04/27/1994

Effective Date

04/27/1994

Expiration Date

07/31/2008

City

LAKE BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008