CHARLES ALLAN EDWARD STEEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

CANCELLED

Business

First Name

CHARLES

Middle

ALLAN EDWARD

Last Name

STEEN

Suffix

Business Name

CHARLES ALLAN EDWARD STEEN MD

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

07/31/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006