MARK A PIERCE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

PIERCE

Business Name

MARK A PIERCE

Original Issue Date

04/18/1986

Effective Date

04/18/1986

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006