JEAN R CHARLOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

JEAN R

Last Name

CHARLOT

Suffix

Business Name

JEAN R CHARLOT MD

Original Issue Date

01/19/1983

Effective Date

01/19/1983

Expiration Date

07/31/2005

City

CAIRO

State

Zip

62914

County

ALEXANDER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006