BARRY BENJAMIN SCHWARTZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

CANCELLED

Business

First Name

BARRY BENJAMIN

Last Name

SCHWARTZ

Suffix

Business Name

BARRY BENJAMIN SCHWARTZ MD

Original Issue Date

09/02/1997

Effective Date

09/02/1997

Expiration Date

07/31/2002

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006