DALE F SUTHERLAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

DALE F

Last Name

SUTHERLAND

Suffix

Business Name

DALE F SUTHERLAND MD

Original Issue Date

04/17/1992

Effective Date

04/17/1992

Expiration Date

07/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011