CHARLES D KANAKIS JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

CHARLES D

Last Name

KANAKIS JR

Suffix

Business Name

CHARLES D KANAKIS JR MD

Original Issue Date

01/01/1997

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023