CHARLES EDWARD PENNIX III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138462

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

EDWARD

Last Name

PENNIX

Suffix

III

Business Name

CHARLES EDWARD PENNIX III MD

Original Issue Date

06/25/2015

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/07/2023