GARY WAYNE RAFF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

CANCELLED

Business

First Name

GARY

Middle

WAYNE

Last Name

RAFF

Suffix

Business Name

GARY WAYNE RAFF MD

Original Issue Date

07/11/2000

Effective Date

07/11/2000

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006