CHARLES ALFRED THORSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

CHARLES ALFRED

Last Name

THORSEN

Suffix

Business Name

CHARLES ALFRED THORSEN MD

Original Issue Date

02/03/1994

Effective Date

02/03/1994

Expiration Date

07/31/1996

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020