CHARLES L PAXSON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

PAXSON JR

Suffix

Business Name

CHARLES L PAXSON JR MD

Original Issue Date

01/11/1996

Effective Date

01/11/1996

Expiration Date

07/31/2002

City

BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006