CHARLES SPROUL HALBECK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

SPROUL

Last Name

HALBECK

Suffix

Business Name

CHARLES SPROUL HALBECK DO

Original Issue Date

07/09/1987

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020