CHARLES BERNARD CLAGETT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

BERNARD

Last Name

CLAGETT

Suffix

Business Name

CHARLES BERNARD CLAGETT JR MD

Original Issue Date

04/11/2012

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023