CARNELLA RAE BOXLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

CARNELLA

Middle

RAE

Last Name

BOXLEY

Suffix

Business Name

CARNELLA RAE BOXLEY MD

Original Issue Date

03/06/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021