CHARLES L CRIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068810

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

CRIST

Suffix

Business Name

CHARLES L CRIST MD

Original Issue Date

06/14/1984

Effective Date

06/14/1984

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006