CHARLES RICHARD CANTRELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099076

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

RICHARD

Last Name

CANTRELL

Suffix

Business Name

CHARLES RICHARD CANTRELL DO

Original Issue Date

09/21/1998

Effective Date

09/21/1998

Expiration Date

07/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/09/2006