CHARLES AZU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

CHARLES

Last Name

AZU

Business Name

CHARLES AZU

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

EAST SAINT LOUIS

State

Zip

62202

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008