CHARLES G MAHAKIAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

CANCELLED

Business

First Name

CHARLES

Middle

Last Name

MAHAKIAN

Business Name

CHARLES G MAHAKIAN

Original Issue Date

02/16/2001

Effective Date

02/16/2001

Expiration Date

07/31/2002

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006