MARC J SAFRAN 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

MARC J

Last Name

SAFRAN

Business Name

MARC J SAFRAN

Original Issue Date

06/07/1990

Effective Date

06/07/1990

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006