CHARLES EDGAR GANOTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042853

License Status

NOT RENEWED

Business

First Name

CHARLES EDGAR

Last Name

GANOTE

Suffix

Business Name

CHARLES EDGAR GANOTE MD

Original Issue Date

08/11/1969

Effective Date

08/11/1969

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006