CHARLES J KUCERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

CHARLES J

Last Name

KUCERA

Suffix

Business Name

CHARLES J KUCERA MD

Original Issue Date

03/02/1993

Effective Date

03/02/1993

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006