CHARLES LOUIS PICUS 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

First Name

CHARLES LOUIS

Last Name

PICUS

Suffix

Business Name

CHARLES LOUIS PICUS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006