CHARLES ROBERT DAISY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

CHARLES ROBERT

Last Name

DAISY

Suffix

Business Name

CHARLES ROBERT DAISY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

GREENVILLE

State

Zip

62246

County

BOND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008