JUSTIN ROY CONNOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

ROY

Last Name

CONNOR

Business Name

JUSTIN ROY CONNOR MD

Original Issue Date

07/26/2016

Effective Date

07/26/2016

Expiration Date

07/31/2017

City

HOCKESSIN

State

Zip

19707

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017