CHARLES MAXWELL MEDERT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159124

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

MAXWELL

Last Name

MEDERT

Business Name

CHARLES MAXWELL MEDERT MD

Original Issue Date

01/06/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023