IRVING HOWARD DISTELHEIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

IRVING HOWARD

Last Name

DISTELHEIM

Suffix

Business Name

IRVING HOWARD DISTELHEIM MD

Original Issue Date

01/01/1997

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/12/2017