CHARLES H HODGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101524

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

HODGE

Suffix

Business Name

CHARLES H HODGE MD

Original Issue Date

10/25/1999

Effective Date

10/25/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/08/2012