CHARLES CHRISTIAN VINING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149963

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

CHRISTIAN

Last Name

VINING

Business Name

CHARLES CHRISTIAN VINING MD

Original Issue Date

06/26/2019

Effective Date

08/25/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023