CHARLES R CHAVEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078391

License Status

INACTIVE

Business

First Name

CHARLES R

Last Name

CHAVEZ

Suffix

Business Name

CHARLES R CHAVEZ MD

Original Issue Date

02/03/1989

Effective Date

02/03/1989

Expiration Date

07/31/1990

City

FARMINGTON

State

Zip

87401

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006