CHARLES HERBERT BAGLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

CHARLES HERBERT

Last Name

BAGLEY

Suffix

Business Name

CHARLES HERBERT BAGLEY MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006