CHARLES G COFFEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076026

License Status

INACTIVE

Business

Title

First Name

CHARLES

Middle

Last Name

COFFEY

Business Name

CHARLES G COFFEY MD

Original Issue Date

09/29/1987

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

04/07/2011