CHARLES A CROTTEAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

CROTTEAU

Suffix

Business Name

CHARLES A CROTTEAU MD

Original Issue Date

04/28/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023