CHARLES MARTIN SHUMATE 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

First Name

CHARLES MARTIN

Last Name

SHUMATE

Suffix

Business Name

CHARLES MARTIN SHUMATE MD

Original Issue Date

07/10/1996

Effective Date

07/10/1996

Expiration Date

07/31/1999

City

CLAY CITY

State

Zip

62824

County

CLAY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006