CHARLES O SLOCUMB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

CHARLES O

Last Name

SLOCUMB

Suffix

Business Name

CHARLES O SLOCUMB MD

Original Issue Date

11/03/1995

Effective Date

11/03/1995

Expiration Date

07/31/1996

City

BELLEVILLE

State

Zip

62222

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006