MICHAEL CHRISTOPHER LARGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

CHRISTOPHER

Last Name

LARGE

Suffix

Business Name

MICHAEL CHRISTOPHER LARGE MD

Original Issue Date

06/11/2009

Effective Date

10/07/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014