CHARLES H SPENCER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

CHARLES H

Last Name

SPENCER

Suffix

Business Name

CHARLES H SPENCER MD

Original Issue Date

09/13/1989

Effective Date

09/13/1989

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008