CHARLES OTIS STANLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030965

License Status

NOT RENEWED

Business

First Name

CHARLES OTIS

Last Name

STANLEY

Suffix

Business Name

CHARLES OTIS STANLEY MD

Original Issue Date

08/30/1951

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/17/2014