CHARLES STEPHEN PAINE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124605

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

STEPHEN

Last Name

PAINE

Suffix

Business Name

CHARLES STEPHEN PAINE JR MD

Original Issue Date

11/10/2009

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014