CHARLES RUNDE 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

Last Name

RUNDE

Business Name

CHARLES RUNDE

Original Issue Date

06/29/1982

Effective Date

06/17/2020

Expiration Date

07/31/2023

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023