CHARLES EDEN PITZELE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041349

License Status

NOT RENEWED

Business

First Name

CHARLES EDEN

Last Name

PITZELE

Suffix

Business Name

CHARLES EDEN PITZELE MD

Original Issue Date

08/07/1967

Effective Date

08/07/1967

Expiration Date

07/31/1990

City

WEST ST PAUL

State

Zip

55118

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006