CHARLES HERSHEL SHALLAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

CHARLES HERSHEL

Last Name

SHALLAT

Suffix

Business Name

CHARLES HERSHEL SHALLAT MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008