BAMPEN CHARO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

BAMPEN

Last Name

CHARO

Suffix

Business Name

BAMPEN CHARO MD

Original Issue Date

01/01/1997

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017