CHARLES LANE RICE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

CANCELLED

Business

First Name

CHARLES LANE

Last Name

RICE

Suffix

Business Name

CHARLES LANE RICE MD

Original Issue Date

01/05/1994

Effective Date

01/05/1994

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006