DALE A CHARLETTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016531

License Status

EXPIRED

Business

First Name

DALE A

Last Name

CHARLETTA

Suffix

Business Name

DALE A CHARLETTA MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006