JOHN A STITH 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

JOHN

Middle

Last Name

STITH

Suffix

Business Name

JOHN A STITH MD

Original Issue Date

09/10/1991

Effective Date

09/10/1991

Expiration Date

07/31/1996

City

DUQUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006