RALPH E HAROLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

RALPH E

Last Name

HAROLD

Suffix

Business Name

RALPH E HAROLD MD

Original Issue Date

09/11/2000

Effective Date

09/11/2000

Expiration Date

07/31/2005

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006