CHARLES L WASILEWSKI JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042640

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

WASILEWSKI JR

Suffix

Business Name

CHARLES L WASILEWSKI JR MD

Original Issue Date

07/07/1969

Effective Date

07/07/1969

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006