CHARLES STEPHEN PAINE JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****56

NOT RENEWED

N

MD

CHARLES

STEPHEN

PAINE

JR

CHARLES STEPHEN PAINE JR MD

11/12/2009

07/25/2011

07/31/2014

HINSDALE

IL

60521

DUPAGE

PRACTITIONER

II III IV V

N

11/17/2014