WILLIAM R BUCKLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

WILLIAM R

Last Name

BUCKLEY

Suffix

Business Name

WILLIAM R BUCKLEY MD

Original Issue Date

09/21/1992

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014