DURWOOD EARNEST NEAL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

DURWOOD

Middle

EARNEST

Last Name

NEAL

Suffix

JR MD

Business Name

DURWOOD EARNEST NEAL JR MD

Original Issue Date

06/08/1998

Effective Date

06/08/1998

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006