CHARLES R CHAVEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

CHAVEZ

Suffix

Business Name

CHARLES R CHAVEZ MD

Original Issue Date

03/23/1989

Effective Date

03/23/1989

Expiration Date

07/31/1990

City

CHARLESTON

State

Zip

61920

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006