CHARLES E CARPENTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

CARPENTER

Suffix

Business Name

CHARLES E CARPENTER MD

Original Issue Date

02/02/1996

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014