CHARLES A GOTTLOB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093133

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

GOTTLOB

Suffix

Business Name

CHARLES A GOTTLOB MD

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

07/31/2002

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006