CHARLES AZU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051502

License Status

NOT RENEWED

Business

First Name

CHARLES

Last Name

AZU

Business Name

CHARLES AZU

Original Issue Date

08/15/1975

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EAST SAINT LOUIS

State

Zip

62202

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/06/2008