CHARLES G GROEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021580

License Status

EXPIRED

Business

First Name

CHARLES G

Last Name

GROEN

Suffix

Business Name

CHARLES G GROEN MD

Original Issue Date

07/08/1987

Effective Date

07/08/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006