INGRID A MAYER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

CANCELLED

Business

First Name

INGRID A

Last Name

MAYER

Business Name

INGRID A MAYER

Original Issue Date

06/03/1997

Effective Date

06/03/1997

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006