DAVID ALBERT BRISTOW 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

First Name

DAVID ALBERT

Last Name

BRISTOW

Suffix

Business Name

DAVID ALBERT BRISTOW MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008