MICHAEL RUSSELL CHARLTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142530

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RUSSELL

Last Name

CHARLTON

Business Name

MICHAEL RUSSELL CHARLTON MD

Original Issue Date

03/01/2017

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

07/07/2023