License #:
336034600 - Expired
Expiration Date:
Jul 31, 1996
Type:
Licensed Physician Controlled Substance(Schedules Ii Iii Iv V )
License #:
036070728 - Active
Expiration Date:
Jul 31, 2017
Type:
Licensed Physician And Surgeon
License #:
125015727 - Expired
Issued Date:
Jun 15, 1983
Expiration Date:
Jul 1, 1985
Type:
Temporary Medical Permit
License #:
336034598 - Expired
Expiration Date:
Jul 31, 1999
Type:
Licensed Physician Controlled Substance(Schedules Ii Iii Iv V )
License #:
336034599 - Expired
Issued Date:
Jan 15, 1992
Expiration Date:
Jul 31, 2002
Type:
Licensed Physician Controlled Substance(Schedules Ii Iii Iv V )
License #:
336034601 - Expired
Expiration Date:
Jul 31, 1996
Type:
Licensed Physician Controlled Substance(Schedules Ii Iii Iv V )
License #:
336034602 - Expired
Expiration Date:
Jul 31, 1996
Type:
Licensed Physician Controlled Substance(Schedules Ii Iii Iv V )
License #:
336034603 - Expired
Expiration Date:
Jul 31, 1996
Type:
Licensed Physician Controlled Substance(Schedules Ii Iii Iv V )
License #:
336034604 - Expired
Expiration Date:
Jul 31, 1996
Type:
Licensed Physician Controlled Substance(Schedules Ii Iii Iv V )