DAVID IAN CHARNEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

DAVID IAN

Last Name

CHARNEY

Suffix

Business Name

DAVID IAN CHARNEY MD

Original Issue Date

06/18/1997

Effective Date

06/18/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006