CHARLES RAYMOND SHEPARDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038492

License Status

NOT RENEWED

Business

First Name

CHARLES RAYMOND

Last Name

SHEPARDSON

Suffix

Business Name

CHARLES RAYMOND SHEPARDSON MD

Original Issue Date

07/22/1963

Effective Date

07/22/1963

Expiration Date

07/31/2002

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006