CHARLES MARTIN PERSONS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

MARTIN

Last Name

PERSONS

Business Name

CHARLES MARTIN PERSONS MD

Original Issue Date

07/15/2016

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

FORT WORTH

State

Zip

76136

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021