CHARLES F MCKIEL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

Last Name

MCKIEL

Suffix

Business Name

CHARLES F MCKIEL JR MD

Original Issue Date

12/09/2002

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021