CHARLES FRANKLIN MILD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000193

License Status

EXPIRED

Business

First Name

CHARLES

Middle

FRANKLIN

Last Name

MILD

Suffix

Business Name

CHARLES FRANKLIN MILD MD

Original Issue Date

04/11/2003

Effective Date

04/11/2003

Expiration Date

10/10/2003

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006