CHARLES G COFFEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019504

License Status

EXPIRED

Business

Title

First Name

CHARLES

Middle

Last Name

COFFEY

Business Name

CHARLES G COFFEY MD

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006