CHARLES EDWARD PENNIX III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059566

License Status

EXPIRED

Business

Title

First Name

CHARLES

Middle

EDWARD

Last Name

PENNIX

Suffix

III

Business Name

CHARLES EDWARD PENNIX III MD

Original Issue Date

06/25/2011

Effective Date

06/25/2011

Expiration Date

06/24/2012

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/29/2012