CHARLES RONALD SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099981

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

RONALD

Last Name

SMITH

Suffix

Business Name

CHARLES RONALD SMITH DO

Original Issue Date

04/06/1999

Effective Date

04/06/1999

Expiration Date

07/31/2002

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

03/27/2007

Case Number

2005006917

Action

Refuse To Renew

Discipline Start Date

12/28/2005

Discipline Reason

Sister-state discipline.