JACK BUCHANAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

BUCHANAN

Suffix

Business Name

JACK BUCHANAN MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006