CHARLES H MUNCRIEF DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032092

License Status

EXPIRED

Business

First Name

CHARLES H

Last Name

MUNCRIEF

Suffix

Business Name

CHARLES H MUNCRIEF DO

Original Issue Date

06/30/1994

Effective Date

06/30/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006