CHARLES FORSTHOFFER HAWK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

CHARLES

Middle

FORSTHOFFER

Last Name

HAWK

Business Name

CHARLES FORSTHOFFER HAWK

Original Issue Date

07/11/2024

Effective Date

07/11/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024