LARRY L PATRICK 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

LARRY L

Last Name

PATRICK

Suffix

Business Name

LARRY L PATRICK MD

Original Issue Date

02/02/1984

Effective Date

02/02/1984

Expiration Date

07/31/1999

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006