CHARLES THOMAS SMALLWOOD JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037589

License Status

NOT RENEWED

Business

First Name

CHARLES THOMAS

Last Name

SMALLWOOD JR

Suffix

Business Name

CHARLES THOMAS SMALLWOOD JR MD

Original Issue Date

11/30/1961

Effective Date

11/30/1961

City

BROCKTON

State

Zip

02401

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006