RICHARD WARREN HOUSTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

CANCELLED

Business

First Name

RICHARD WARREN

Last Name

HOUSTON

Suffix

Business Name

RICHARD WARREN HOUSTON MD

Original Issue Date

02/06/2002

Effective Date

02/06/2002

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020