CHARLES DEAN SOUCEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036332

License Status

NOT RENEWED

Business

First Name

CHARLES DEAN

Last Name

SOUCEK

Suffix

Business Name

CHARLES DEAN SOUCEK MD

Original Issue Date

12/02/1959

Effective Date

12/02/1959

Expiration Date

07/01/1982

City

KANSAS CITY

State

Zip

66102

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006