MICHAEL RUSSELL CHARLTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RUSSELL

Last Name

CHARLTON

Business Name

MICHAEL RUSSELL CHARLTON MD

Original Issue Date

03/01/2017

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

UTAH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023