CHARLES ANTHONY CAVALLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041159

License Status

NOT RENEWED

Business

First Name

CHARLES ANTHONY

Last Name

CAVALLO

Suffix

Business Name

CHARLES ANTHONY CAVALLO MD

Original Issue Date

07/28/1967

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

11/30/2023