CHARLES JASON GRODZIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

JASON

Last Name

GRODZIN

Business Name

CHARLES JASON GRODZIN MD

Original Issue Date

07/23/1992

Effective Date

03/04/2013

Expiration Date

07/31/2014

City

HIGHLAND VILLAGE

State

Zip

75077

County

TEXAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014