CHARLES B SISSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

CHARLES B

Last Name

SISSON

Suffix

Business Name

CHARLES B SISSON MD

Original Issue Date

03/19/1998

Effective Date

03/19/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006