CHARLES WILSON SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101682

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

WILSON

Last Name

SMITH

Business Name

CHARLES WILSON SMITH

Original Issue Date

12/07/1999

Effective Date

12/07/1999

Expiration Date

07/31/2002

City

LITTLE ROCK

State

Zip

72212

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/09/2006