CHARLES JOSEPH TAUNT JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

JOSEPH

Last Name

TAUNT

Suffix

JR DO

Business Name

CHARLES JOSEPH TAUNT JR DO

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006