CHARLES D HERZON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

CANCELLED

Business

First Name

CHARLES D

Last Name

HERZON

Suffix

Business Name

CHARLES D HERZON MD

Original Issue Date

01/19/1983

Effective Date

01/19/1983

Expiration Date

07/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008