CHARLES LEE KALSTED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057669

License Status

NOT RENEWED

Business

First Name

CHARLES LEE

Last Name

KALSTED

Suffix

Business Name

CHARLES LEE KALSTED MD

Original Issue Date

09/25/1978

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

06/11/2018