KIA LASHAUN CARTER 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

Title

First Name

KIA

Middle

LASHAUN

Last Name

CARTER

Business Name

KIA LASHAUN CARTER MD

Original Issue Date

07/17/2012

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017