PATRICK S MCCALLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

PATRICK S

Last Name

MCCALLUM

Suffix

Business Name

PATRICK S MCCALLUM MD

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006