CHARLES S DONNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

CHARLES S

Last Name

DONNER

Business Name

CHARLES S DONNER

Original Issue Date

10/24/1990

Effective Date

10/24/1990

Expiration Date

07/31/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006