JEAN WILSON MUSCADIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

JEAN WILSON

Last Name

MUSCADIN

Suffix

Business Name

JEAN WILSON MUSCADIN MD

Original Issue Date

03/09/1983

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60621

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021