OTHA RAY RAINS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

OTHA RAY

Last Name

RAINS JR

Suffix

Business Name

OTHA RAY RAINS JR MD

Original Issue Date

04/15/1983

Effective Date

04/15/1983

Expiration Date

07/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011