CHARLES A WILLS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

WILLS

Business Name

CHARLES A WILLS

Original Issue Date

09/14/1995

Effective Date

09/14/1995

Expiration Date

07/31/1996

City

WOODRIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006