DOROTHY CHARLES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075103

License Status

CANCELLED

Business

Title

First Name

DOROTHY

Last Name

CHARLES

Business Name

DOROTHY CHARLES MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

EAST ALTON

State

Zip

62024

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/28/2019