CHARLES ANDREW WETHERINGTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

CANCELLED

Business

First Name

CHARLES

Middle

ANDREW

Last Name

WETHERINGTON

Suffix

Business Name

CHARLES ANDREW WETHERINGTON MD

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

07/31/2008

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008