CHARLES I WABNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

CHARLES I

Last Name

WABNER

Suffix

Business Name

CHARLES I WABNER MD

Original Issue Date

01/01/1997

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017