CHARLES WILLIAM LONGWELL III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125916

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

WILLIAM

Last Name

LONGWELL

Suffix

III

Business Name

CHARLES WILLIAM LONGWELL III MD

Original Issue Date

06/07/2010

Effective Date

06/07/2010

Expiration Date

07/31/2011

City

COLUMBUS

State

Zip

43213

County

FRANKLIN

Ever Disciplined

LastModifiedDate

11/14/2011