ANN PURYEAR O'ROURKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

ANN

Middle

PURYEAR

Last Name

O'ROURKE

Business Name

ANN PURYEAR O'ROURKE MD

Original Issue Date

06/28/2013

Effective Date

06/28/2013

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/17/2014