CHARLES ALFRED THORSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056182

License Status

NOT RENEWED

Business

First Name

CHARLES ALFRED

Last Name

THORSEN

Suffix

Business Name

CHARLES ALFRED THORSEN MD

Original Issue Date

12/16/1977

Effective Date

01/11/2021

Expiration Date

05/31/2021

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

02/15/2023