DAVID S CHANNIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

CHANNIN

Suffix

Business Name

DAVID S CHANNIN MD

Original Issue Date

07/03/1997

Effective Date

05/20/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011