CHARLES A GOTTLOB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025509

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

GOTTLOB

Suffix

Business Name

CHARLES A GOTTLOB MD

Original Issue Date

06/18/1990

Effective Date

06/18/1990

Expiration Date

06/19/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006