CHARLES JEROME HAVEL JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112828

License Status

INACTIVE

Business

First Name

CHARLES

Middle

JEROME

Last Name

HAVEL

Suffix

JR MD

Business Name

CHARLES JEROME HAVEL JR MD

Original Issue Date

12/29/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SANIBEL

State

Zip

33957

Ever Disciplined

LastModifiedDate

04/17/2008