STONEWALL MCCUISTON JR MD

Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )

Illinois  336038174   Active

This Illinois license is held by STONEWALL MCCUISTON JR MD. The license is currently active. It was granted on 11/04/1993 and expired on 07/31/2017

LICENSE DETAILS

  • License Number: 336038174
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules II III IIN IIIN IV V )
  • Status: Active
  • Date Granted: 11/04/1993 (over 30 years ago)
  • Expiry Date: 07/31/2017 (over 6 years ago)

LOCATIONS

A Address

HOPKINS PARK, IL 60944