CHARLES FORSTHOFFER HAWK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171088

License Status

ACTIVE

Business

First Name

CHARLES

Middle

FORSTHOFFER

Last Name

HAWK

Business Name

CHARLES FORSTHOFFER HAWK

Original Issue Date

07/11/2024

Effective Date

07/11/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2024