CHARLES RICHARD BUCHANAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

RICHARD

Last Name

BUCHANAN

Suffix

Business Name

CHARLES RICHARD BUCHANAN MD

Original Issue Date

09/16/2002

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017