CHARLES F EISENBEIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

EISENBEIS

Business Name

CHARLES F EISENBEIS

Original Issue Date

08/04/1998

Effective Date

08/04/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006