CHARLES A EVERLY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092006

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

EVERLY

Business Name

CHARLES A EVERLY

Original Issue Date

10/05/1995

Effective Date

10/05/1995

Expiration Date

07/31/2002

City

TUBA CITY

State

Zip

86045

County

ARIZONA

Ever Disciplined

LastModifiedDate

12/15/2015