CHAD RICHARD CHRISTOPHERSON MD 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

First Name

CHAD RICHARD

Last Name

CHRISTOPHERSON

Suffix

Business Name

CHAD RICHARD CHRISTOPHERSON MD

Original Issue Date

06/14/1996

Effective Date

06/14/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006