DALE EDWARD DOERR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

First Name

DALE

Middle

EDWARD

Last Name

DOERR

Suffix

Business Name

DALE EDWARD DOERR MD

Original Issue Date

01/17/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011