CHARLES L MADDOW MD - Medical Doctor License in New York | # 036103143

CHARLES L MADDOW MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103143

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

L

Last Name

MADDOW

Suffix

MD

Business Name

CHARLES L MADDOW MD

Original Issue Date

07/25/2000

Effective Date

07/25/2000

Expiration Date

07/31/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006