CHARLES O METZMAKER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****13

NOT RENEWED

N

CHARLES O

METZMAKER

MD

CHARLES O METZMAKER MD

01/01/1997

07/31/1990

SPRINGFIELD

IL

62702

SANGAMON

II III IV V

N

09/26/2006