License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Charles Augustus Slattery	MD	Internal Medicine	Verify Specialty Certification	South Titusville Medicat Ctr 4500 S Hopkins Av TITUSVILLE, FL (Other)	FL, RI

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	14547	Surrendered	11/11/1985	06/03/2002

Education History

School	Date Completed	Nature of Training
Faculty Of Medicine, Autonomous University Of Guadalajara	06/20/1980	Medical or Podiatric School
Ohio Valley Medical Center, Wheeling	06/30/1986	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Voluntary Surrender of License	06/03/2002	Consent Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/20/2026.