CHARLES BERNARD CLAGETT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130039

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

BERNARD

Last Name

CLAGETT

Suffix

Business Name

CHARLES BERNARD CLAGETT JR MD

Original Issue Date

04/11/2012

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

11/30/2023