KARLA D HIGGINBOTHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

KARLA

Middle

Last Name

HIGGINBOTHAM

Business Name

KARLA D HIGGINBOTHAM MD

Original Issue Date

06/29/2016

Effective Date

08/07/2017

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