CHARLES A EVERLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029615

License Status

EXPIRED

Business

First Name

CHARLES A

Last Name

EVERLY

Business Name

CHARLES A EVERLY

Original Issue Date

05/13/1993

Effective Date

05/13/1993

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006