CHARLES ANTHONY DENNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097060

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ANTHONY

Last Name

DENNIS

Suffix

Business Name

CHARLES ANTHONY DENNIS MD

Original Issue Date

12/05/1997

Effective Date

07/02/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/30/2023