CHARLES LOUIS LETTVIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

CHARLES

Middle

LOUIS

Last Name

LETTVIN

Suffix

Business Name

CHARLES LOUIS LETTVIN MD

Original Issue Date

02/23/2016

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023