CHARLES J LATENDRESSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051555

License Status

INACTIVE

Business

First Name

CHARLES J

Last Name

LATENDRESSE

Suffix

Business Name

CHARLES J LATENDRESSE MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/1987

City

GRUNDY CENTER

State

Zip

50638

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006