BERNARD R CHARLES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052143

License Status

CANCELLED

Business

First Name

BERNARD

Middle

Last Name

CHARLES

Suffix

Business Name

BERNARD R CHARLES MD

Original Issue Date

07/14/2006

Effective Date

07/14/2006

Expiration Date

07/13/2009

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/22/2006