DOUGLAS ALLAN CHARLESWORTH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

DOUGLAS ALLAN

Last Name

CHARLESWORTH

Business Name

DOUGLAS ALLAN CHARLESWORTH

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006