THEODORE GEORGE MAYER 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

Title

First Name

THEODORE

Middle

GEORGE

Last Name

MAYER

Business Name

THEODORE GEORGE MAYER MD

Original Issue Date

06/02/1997

Effective Date

06/02/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017