VIRGIL DELANO SHORT 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

VIRGIL DELANO

Last Name

SHORT

Suffix

Business Name

VIRGIL DELANO SHORT MD

Original Issue Date

01/01/1997

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011