CHARLES ANDREW VILLE PERROTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

CHARLES ANDREW

Middle

VILLE

Last Name

PERROTT

Suffix

Business Name

CHARLES ANDREW VILLE PERROTT MD

Original Issue Date

10/05/2000

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023