CHARLES LYNE WHITFIELD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047213

License Status

NOT RENEWED

Business

First Name

CHARLES LYNE

Last Name

WHITFIELD

Business Name

CHARLES LYNE WHITFIELD

Original Issue Date

03/14/1973

Effective Date

03/14/1973

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006