MICHAEL JAMES PACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MICHAEL JAMES

Last Name

PACE

Suffix

Business Name

MICHAEL JAMES PACE MD

Original Issue Date

06/16/1995

Effective Date

06/16/1995

Expiration Date

07/31/1996

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020