LARRY J MACFARLANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

LARRY J

Last Name

MACFARLANE

Suffix

Business Name

LARRY J MACFARLANE MD

Original Issue Date

11/19/1985

Effective Date

11/19/1985

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006