DOROTHY CHARLES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

DOROTHY

Last Name

CHARLES

Business Name

DOROTHY CHARLES MD

Original Issue Date

07/27/2022

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

EAST ALTON

State

Zip

62024

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023