CHARLES MARRIOTT STEWART 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 MARRIOTT

Last Name

STEWART

Suffix

Business Name

CHARLES MARRIOTT STEWART MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006