CHARLES A EVERLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

EVERLY

Business Name

CHARLES A EVERLY

Original Issue Date

11/22/1995

Effective Date

11/22/1995

Expiration Date

07/31/2002

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006