CHARLES CRISTOBAL FALZON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

CRISTOBAL

Last Name

FALZON

Business Name

CHARLES CRISTOBAL FALZON MD

Original Issue Date

08/24/2015

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021