RALPH H CONGDON 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

RALPH H

Last Name

CONGDON

Suffix

Business Name

RALPH H CONGDON MD

Original Issue Date

03/25/1996

Effective Date

03/25/1996

Expiration Date

07/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006