CHARLES A SLATTERY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016418

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

SLATTERY

Business Name

CHARLES A SLATTERY

Original Issue Date

10/12/1983

Effective Date

10/12/1983

Expiration Date

06/27/1985

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006