CHARLES B MCINTOSH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036025171

License Status

NOT RENEWED

Business

First Name

CHARLES B

Last Name

MCINTOSH

Suffix

Business Name

CHARLES B MCINTOSH MD

Original Issue Date

09/22/1942

Effective Date

09/22/1942

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006