CHARLES KONTOR WIREDU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

KONTOR

Last Name

WIREDU

Suffix

Business Name

CHARLES KONTOR WIREDU MD

Original Issue Date

08/14/2007

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

65807

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014