CHARLES R IRELAND DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

CHARLES R

Last Name

IRELAND

Suffix

Business Name

CHARLES R IRELAND DO

Original Issue Date

10/16/1987

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023