KATHLEEN DORRIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

CANCELLED

Business

First Name

KATHLEEN

Last Name

DORRIS

Suffix

Business Name

KATHLEEN DORRIS MD

Original Issue Date

06/19/2007

Effective Date

06/19/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/17/2008