CALVIN J SLOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

CALVIN J

Last Name

SLOT

Suffix

Business Name

CALVIN J SLOT MD

Original Issue Date

09/03/2003

Effective Date

09/03/2003

Expiration Date

07/31/2008

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020