OTTO J SCHUECKLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

OTTO

Middle

Last Name

SCHUECKLER

Business Name

OTTO J SCHUECKLER

Original Issue Date

05/28/2002

Effective Date

05/28/2002

Expiration Date

07/31/2005

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006