CHARLES AUGUSTIN MUDD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039929

License Status

INACTIVE

Business

First Name

CHARLES AUGUSTIN

Last Name

MUDD

Suffix

Business Name

CHARLES AUGUSTIN MUDD MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006