RICHARD J QUALY 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

Title

First Name

RICHARD

Middle

Last Name

QUALY

Business Name

RICHARD J QUALY MD

Original Issue Date

08/14/2013

Effective Date

09/09/2014

Expiration Date

07/31/2017

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017