CHARLES TRAVIS CRIDDLE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051457

License Status

EXPIRED

Business

First Name

CHARLES

Middle

TRAVIS

Last Name

CRIDDLE

Suffix

Business Name

CHARLES TRAVIS CRIDDLE DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/15/2009