CHARLES R RUNNING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

CANCELLED

Business

First Name

CHARLES

Middle

Last Name

RUNNING

Suffix

Business Name

CHARLES R RUNNING MD

Original Issue Date

06/12/2007

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

OGLESBY

State

Zip

61348

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011