CHARLES JEROME HAVEL JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

CANCELLED

Business

First Name

CHARLES

Middle

JEROME

Last Name

HAVEL

Suffix

JR MD

Business Name

CHARLES JEROME HAVEL JR MD

Original Issue Date

03/07/2005

Effective Date

03/07/2005

Expiration Date

07/31/2008

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008