CHARLES THOMAS WHITTENBURG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104221

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

THOMAS

Last Name

WHITTENBURG

Suffix

Business Name

CHARLES THOMAS WHITTENBURG DO

Original Issue Date

02/16/2001

Effective Date

02/16/2001

Expiration Date

07/31/2002

City

NORTH RICHLAND HILLS

State

Zip

76180

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006