CHARLES G COFFEY MD - Medical Doctor License in Illinois | # 125019504

CHARLES G COFFEY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019504

License Status

EXPIRED

Business

N

Title

MD

First Name

CHARLES

Middle

G

Last Name

COFFEY

Business Name

CHARLES G COFFEY MD

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006