CHARLES WARREN EARNSHAW JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

WARREN

Last Name

EARNSHAW

Suffix

JR MD

Business Name

CHARLES WARREN EARNSHAW JR MD

Original Issue Date

05/12/1986

Effective Date

05/12/1986

Expiration Date

07/31/1996

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006