DOUGLAS ALLAN CHARLESWORTH - Medical Doctor License in Illinois | # 036059244

DOUGLAS ALLAN CHARLESWORTH

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059244

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS ALLAN

Last Name

CHARLESWORTH

Business Name

DOUGLAS ALLAN CHARLESWORTH

Original Issue Date

09/20/1979

Effective Date

09/20/1979

Expiration Date

07/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006