JOHN AXEL STROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

JOHN AXEL

Last Name

STROM

Suffix

Business Name

JOHN AXEL STROM MD

Original Issue Date

08/11/1982

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021