MICHAEL SCOTT PANUTICH 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

MICHAEL

Middle

SCOTT

Last Name

PANUTICH

Suffix

Business Name

MICHAEL SCOTT PANUTICH MD

Original Issue Date

07/08/2003

Effective Date

07/08/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008