CHARLES DAVENPORT LUSTFIELD
Medical Board - 33.Lmt L M Group
Ohio 33.003786-L-M Inactive
This Ohio license was held by CHARLES DAVENPORT LUSTFIELD. The license is no longer active. It was granted on 08/19/1975 and expired on 08/31/1999
LICENSE DETAILS
- License Number: 33.003786-L-M
- Category: 33.LMT - L-M group
- Status: Inactive
- Date Granted: 08/19/1975 (over 49 years ago)
- Expiry Date: 08/31/1999 (over 25 years ago)
LOCATIONS
A Residence Address
DALLAS, TX 75229-2554