CHARLES D ETTELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067559

License Status

NOT RENEWED

Business

First Name

CHARLES D

Last Name

ETTELSON

Suffix

Business Name

CHARLES D ETTELSON MD

Original Issue Date

09/08/1983

Effective Date

09/08/1983

Expiration Date

07/31/1984

City

CHESTERFIELD

State

Zip

63107

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006