CHARLES THOMAS WHITTENBURG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036683

License Status

EXPIRED

Business

First Name

CHARLES

Middle

THOMAS

Last Name

WHITTENBURG

Suffix

Business Name

CHARLES THOMAS WHITTENBURG DO

Original Issue Date

06/12/1997

Effective Date

06/12/1997

Expiration Date

06/30/2001

City

OLYMPIA FLDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006