CHARLES ARTHUR KALLICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

CHARLES ARTHUR

Last Name

KALLICK

Suffix

Business Name

CHARLES ARTHUR KALLICK MD

Original Issue Date

01/01/1997

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

SEATTLE

State

Zip

98117

County

WASHINGTON STATE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017