CHARLES D WASHINGTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109776

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

WASHINGTON

Suffix

Business Name

CHARLES D WASHINGTON MD

Original Issue Date

07/25/2003

Effective Date

10/04/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/04/2023