CHAD SAMUEL OSBORNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

CHAD SAMUEL

Last Name

OSBORNE

Suffix

Business Name

CHAD SAMUEL OSBORNE MD

Original Issue Date

04/21/1997

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023