CHARLES J LOCKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

CHARLES J

Last Name

LOCKE

Suffix

Business Name

CHARLES J LOCKE MD

Original Issue Date

10/28/1981

Effective Date

10/28/1981

Expiration Date

07/31/1990

City

RIVER GROVE

State

Zip

60171

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006