MARVINIA CHARLES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

MARVINIA

Last Name

CHARLES

Business Name

MARVINIA CHARLES MD

Original Issue Date

12/13/2018

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75204

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023