CHARLES ROBERT MARIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056584

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

ROBERT

Last Name

MARIS

Suffix

Business Name

CHARLES ROBERT MARIS MD

Original Issue Date

03/21/1978

Effective Date

07/13/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023