CHARLES STEPHEN GUERNSEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058461

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

STEPHEN

Last Name

GUERNSEY

Suffix

Business Name

CHARLES STEPHEN GUERNSEY DO

Original Issue Date

03/22/1979

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

11/17/2014