CHARLES JEFFERSON RUNNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026377

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

JEFFERSON

Last Name

RUNNER

Suffix

Business Name

CHARLES JEFFERSON RUNNER MD

Original Issue Date

08/01/1945

Effective Date

08/01/1945

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006