DALE A CHARLETTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

DALE A

Last Name

CHARLETTA

Suffix

Business Name

DALE A CHARLETTA MD

Original Issue Date

03/18/1986

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023