CHARLES L DICKENS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

DICKENS

Business Name

CHARLES L DICKENS

Original Issue Date

05/14/1996

Effective Date

05/14/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1993007557

Action

Probation

Discipline Start Date

04/29/1996

Discipline End Date

05/17/1999

Discipline Reason

License issued on probation after being treated for substance abuse and addiction on various occasions.