ERIC KENT FITZCHARLES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119278

License Status

INACTIVE

Business

First Name

ERIC

Middle

KENT

Last Name

FITZCHARLES

Suffix

Business Name

ERIC KENT FITZCHARLES MD

Original Issue Date

08/23/2007

Effective Date

08/24/2017

Expiration Date

09/30/2020

City

EDWARDS

State

Zip

81632

Ever Disciplined

LastModifiedDate

04/05/2020