CARLOS A RETTALLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100087

License Status

NOT RENEWED

Business

First Name

CARLOS

Middle

Last Name

RETTALLY

Business Name

CARLOS A RETTALLY

Original Issue Date

04/26/1999

Effective Date

04/26/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006