THORNTON CHARLES KLINE JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

CANCELLED

Business

First Name

THORNTON CHARLES

Last Name

KLINE JR

Suffix

Business Name

THORNTON CHARLES KLINE JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006