MARC ALAN BOOTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

MARC

Middle

ALAN

Last Name

BOOTH

Suffix

Business Name

MARC ALAN BOOTH MD

Original Issue Date

06/13/2003

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014