BRENT K CAUDILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

BRENT K

Last Name

CAUDILL

Suffix

Business Name

BRENT K CAUDILL MD

Original Issue Date

06/08/1990

Effective Date

06/08/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006