CHARLES VAN CLEVENGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112763

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

VAN

Last Name

CLEVENGER

Suffix

Business Name

CHARLES VAN CLEVENGER MD

Original Issue Date

12/09/2004

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

RICHMOND

State

Zip

23298

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/17/2014