MARTIN ANTHONY PITTS 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

MARTIN

Middle

ANTHONY

Last Name

PITTS

Business Name

MARTIN ANTHONY PITTS

Original Issue Date

11/06/2001

Effective Date

11/06/2001

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