CHARLES D WASHINGTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

WASHINGTON

Suffix

Business Name

CHARLES D WASHINGTON MD

Original Issue Date

07/25/2003

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

FOND DU LAC

State

Zip

54935

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020