CHARLES D WASHINGTON MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****30

NOT RENEWED

N

CHARLES

D

WASHINGTON

MD

CHARLES D WASHINGTON MD

04/23/2008

04/05/2011

07/31/2014

FOND DU LAC

WI

54935

WISCONSIN

PRACTITIONER

II III IV V

N

04/05/2020