CHARLEY B GATES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

CHARLEY

Middle

Last Name

GATES

Suffix

Business Name

CHARLEY B GATES MD

Original Issue Date

09/30/2009

Effective Date

09/30/2009

Expiration Date

07/31/2011

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011