CHARLES C BROY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

BROY

Suffix

Business Name

CHARLES C BROY MD

Original Issue Date

08/04/2010

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023