CHARLES V BUCKMASTER - Medical Doctor License in Illinois | # 125033691

CHARLES V BUCKMASTER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033691

License Status

EXPIRED

Business

N

First Name

CHARLES

Middle

V

Last Name

BUCKMASTER

Business Name

CHARLES V BUCKMASTER

Original Issue Date

06/29/1995

Effective Date

06/29/1995

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006