CHARLES W NEAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

CHARLES W

Last Name

NEAL

Suffix

Business Name

CHARLES W NEAL MD

Original Issue Date

08/26/1996

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021