CHARLES M LAKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

CHARLES M

Last Name

LAKIN

Suffix

Business Name

CHARLES M LAKIN MD

Original Issue Date

02/03/1982

Effective Date

02/03/1982

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006