CHARLES A AMENTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

CHARLES A

Last Name

AMENTA

Suffix

Business Name

CHARLES A AMENTA MD

Original Issue Date

08/31/1987

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023