CHARLES EDWARD OSADJAN JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

CANCELLED

Business

First Name

CHARLES EDWARD

Last Name

OSADJAN JR

Suffix

Business Name

CHARLES EDWARD OSADJAN JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

BYRON

State

Zip

61010

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006