CHARLES PAUL BARSANO 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

CHARLES

Middle

PAUL

Last Name

BARSANO

Suffix

Business Name

CHARLES PAUL BARSANO MD

Original Issue Date

01/01/1997

Effective Date

06/30/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60618

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023