TERRANCE C COYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

TERRANCE C

Last Name

COYNE

Suffix

Business Name

TERRANCE C COYNE MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006