CHARLES PITTMAN LAWLESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041775

License Status

NOT RENEWED

Business

First Name

CHARLES PITTMAN

Last Name

LAWLESS

Suffix

Business Name

CHARLES PITTMAN LAWLESS MD

Original Issue Date

07/01/1968

Effective Date

07/01/1968

City

POCATELLO

State

Zip

83201

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006