CHARLES M YARBOROUGH III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

YARBOROUGH

Suffix

III MD

Business Name

CHARLES M YARBOROUGH III MD

Original Issue Date

02/07/1997

Effective Date

02/07/1997

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61629

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006