CHARLES STANLEY HEMENWAY MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001740

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

STANLEY

Last Name

HEMENWAY

Suffix

Business Name

CHARLES STANLEY HEMENWAY MD

Original Issue Date

03/18/2010

Effective Date

12/22/2016

Expiration Date

12/31/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2019