CHARLES A SMITTKAMP MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052437

License Status

CANCELLED

Business

First Name

CHARLES

Middle

Last Name

SMITTKAMP

Suffix

Business Name

CHARLES A SMITTKAMP MD

Original Issue Date

06/26/2007

Effective Date

06/26/2007

Expiration Date

06/25/2010

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/02/2007