JERRY D BECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

JERRY D

Last Name

BECKER

Suffix

Business Name

JERRY D BECKER MD

Original Issue Date

03/02/1994

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011