JOELLEN SEDLACK CHANNON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

JOELLEN

Middle

SEDLACK

Last Name

CHANNON

Suffix

Business Name

JOELLEN SEDLACK CHANNON MD

Original Issue Date

03/13/2012

Effective Date

03/13/2012

Expiration Date

07/31/2014

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020