CHARLES EDWIN MCCOY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

CHARLES EDWIN

Last Name

MCCOY

Suffix

Business Name

CHARLES EDWIN MCCOY MD

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006