DOUGLAS ALLAN CHARLESWORTH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059244

License Status

NOT RENEWED

Business

First Name

DOUGLAS ALLAN

Last Name

CHARLESWORTH

Business Name

DOUGLAS ALLAN CHARLESWORTH

Original Issue Date

09/20/1979

Effective Date

09/20/1979

Expiration Date

07/31/1990

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/20/2006