CHARLES W TATTERSALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

CHARLES W

Last Name

TATTERSALL

Suffix

Business Name

CHARLES W TATTERSALL MD

Original Issue Date

05/23/1986

Effective Date

05/23/1986

Expiration Date

07/31/2005

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006