CHARLES G CHILDERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079150

License Status

EXPIRED

Business

Title

First Name

CHARLES

Middle

Last Name

CHILDERS

Business Name

CHARLES G CHILDERS MD

Original Issue Date

08/25/2021

Effective Date

08/25/2021

Expiration Date

12/31/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Preventive Medicine – Occupational Medicine

Ever Disciplined

LastModifiedDate

10/30/2024