CHARLES W CHANCE DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049448

License Status

INACTIVE

Business

First Name

CHARLES W

Last Name

CHANCE

Suffix

Business Name

CHARLES W CHANCE DO

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1987

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006