CHARLES BERNARD ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

CHARLES BERNARD

Last Name

ANDERSON

Suffix

Business Name

CHARLES BERNARD ANDERSON MD

Original Issue Date

03/03/1988

Effective Date

03/03/1988

Expiration Date

07/31/1996

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006