ERIC D LADENHEIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

ERIC D

Last Name

LADENHEIM

Suffix

Business Name

ERIC D LADENHEIM MD

Original Issue Date

07/25/1988

Effective Date

07/25/1988

Expiration Date

07/31/1999

City

PEORIA

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006