ERIN KATHLEEN BUCKLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

ERIN

Middle

KATHLEEN

Last Name

BUCKLEY

Business Name

ERIN KATHLEEN BUCKLEY MD

Original Issue Date

12/27/2012

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021