CHARLES J LOCKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050098

License Status

NOT RENEWED

Business

First Name

CHARLES J

Last Name

LOCKE

Suffix

Business Name

CHARLES J LOCKE MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

Expiration Date

07/31/2005

City

GOUVERNEUR

State

Zip

13642

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/27/2007

Case Number

2005007965

Action

Refuse To Renew

Discipline Start Date

05/03/2006

Discipline Reason

Sister state discipline.