CAITLIN ROSE CANTON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

CAITLIN

Middle

ROSE

Last Name

CANTON

Business Name

CAITLIN ROSE CANTON DO

Original Issue Date

06/21/2019

Effective Date

06/21/2019

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021