CHARLES R BARDWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033108

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

BARDWELL

Suffix

Business Name

CHARLES R BARDWELL MD

Original Issue Date

11/23/1954

Effective Date

11/23/1954

City

TRURO

State

Zip

02666

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006