CHARLES P BUCKLEY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

Last Name

BUCKLEY

Suffix

Business Name

CHARLES P BUCKLEY JR MD

Original Issue Date

07/25/2008

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020