JUAN M CAMPBELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

CAMPBELL

Business Name

JUAN M CAMPBELL

Original Issue Date

05/19/2003

Effective Date

05/19/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020