CHARLES ROBERT MARIS 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

Middle

ROBERT

Last Name

MARIS

Suffix

Business Name

CHARLES ROBERT MARIS MD

Original Issue Date

05/18/1982

Effective Date

07/13/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023