CHARLES SPROUL HALBECK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061328

License Status

INACTIVE

Business

First Name

CHARLES

Middle

SPROUL

Last Name

HALBECK

Suffix

Business Name

CHARLES SPROUL HALBECK DO

Original Issue Date

12/01/1980

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

HAZELWOOD

State

Zip

63042

County

MADISON

Ever Disciplined

LastModifiedDate

06/10/2020