CHARLES D HERZON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063672

License Status

INACTIVE

Business

First Name

CHARLES D

Last Name

HERZON

Suffix

Business Name

CHARLES D HERZON MD

Original Issue Date

12/16/1981

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

07/17/2008