JOHN EDWARD MIDTLING Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

JOHN EDWARD

Last Name

MIDTLING

Business Name

JOHN EDWARD MIDTLING

Original Issue Date

10/06/1997

Effective Date

10/06/1997

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006