License holder summary

CHARLES DAVENPORT LUSTFIELD is a Medical Board - 33.Lmt L M Group licensed to practice in Ohio. The address on file for CHARLES DAVENPORT LUSTFIELD is DALLAS, TX 75229-2554. This licensed professional license is not current. The license was granted 08/19/1975 and expired on 08/31/1999.

Ohio

Board of Licensing

CHARLES DAVENPORT LUSTFIELD
Medical Board - 33.Lmt L M Group
License number
33.003786-L-M
Date granted
08/19/1975
Date expires
08/31/1999
Class
Medical Board - 33.Lmt L M Group
Status
Inactive
Address
DALLAS, TX 75229-2554
ohiolicensing.org
ID 28418669
LAST UPDATED 2024-03-05 22:17:13 UTC

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