CHARLES A AMENTA MD - Medical Doctor License in Illinois | # 125018142

CHARLES A AMENTA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018142

License Status

EXPIRED

Business

N

First Name

CHARLES A

Last Name

AMENTA

Suffix

MD

Business Name

CHARLES A AMENTA MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

06/25/1988

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006