CHARLES L BROOKS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

BROOKS

Business Name

CHARLES L BROOKS

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/25/2006