CHARLES HERBERT BAGLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058381

License Status

NOT RENEWED

Business

First Name

CHARLES HERBERT

Last Name

BAGLEY

Suffix

Business Name

CHARLES HERBERT BAGLEY MD

Original Issue Date

02/21/1979

Effective Date

02/21/1979

City

UNIVERSITY CITY

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006