ANTHONY LAWRENCE BUCKLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

LAWRENCE

Last Name

BUCKLES

Business Name

ANTHONY LAWRENCE BUCKLES MD

Original Issue Date

12/01/2009

Effective Date

12/01/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020