GINA GILLIAN-LAVERNE CHARLES DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158021

License Status

ACTIVE

Business

Title

First Name

GINA

Middle

GILLIAN-LAVERNE

Last Name

CHARLES

Business Name

GINA GILLIAN-LAVERNE CHARLES DO

Original Issue Date

08/13/2021

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

Ever Disciplined

LastModifiedDate

08/25/2025