CHARLES EDWARD PENNIX III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

EDWARD

Last Name

PENNIX

Suffix

III

Business Name

CHARLES EDWARD PENNIX III MD

Original Issue Date

06/25/2015

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023