CHARLES LOUIS PICUS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036575

License Status

INACTIVE

Business

First Name

CHARLES LOUIS

Last Name

PICUS

Suffix

Business Name

CHARLES LOUIS PICUS MD

Original Issue Date

06/08/1960

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/23/2008