CHARLES MICHAEL WRAY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

MICHAEL

Last Name

WRAY

Business Name

CHARLES MICHAEL WRAY DO

Original Issue Date

12/05/2013

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017