DAVID R CHARLES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128090

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

CHARLES

Business Name

DAVID R CHARLES DO

Original Issue Date

06/13/2011

Effective Date

08/20/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023