CHARLES EDWARD FANDEL DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010920

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

EDWARD

Last Name

FANDEL

Suffix

Business Name

CHARLES EDWARD FANDEL DC

Original Issue Date

03/27/2007

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/10/2011