PAUL W SUNDERLAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

PAUL W

Last Name

SUNDERLAND

Suffix

Business Name

PAUL W SUNDERLAND MD

Original Issue Date

05/08/1984

Effective Date

05/08/1984

Expiration Date

07/31/1996

City

FISHER

State

Zip

61843

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006