CHARLES WILLIAM MCMAHON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

INACTIVE

Business

Title

First Name

CHARLES

Middle

WILLIAM

Last Name

MCMAHON

Business Name

CHARLES WILLIAM MCMAHON MD

Original Issue Date

04/19/2018

Effective Date

07/14/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2020