CHARLES VERNON NYE JR 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

Middle

VERNON

Last Name

NYE

Suffix

JR MD

Business Name

CHARLES VERNON NYE JR MD

Original Issue Date

02/09/1998

Effective Date

07/22/2008

Expiration Date

07/31/2011

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011