ERIC EUGENE WARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

EUGENE

Last Name

WARD

Suffix

Business Name

ERIC EUGENE WARD MD

Original Issue Date

06/21/2000

Effective Date

06/21/2000

Expiration Date

07/31/2002

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006