GERALD ELLSWORTH HAMMOND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

GERALD ELLSWORTH

Last Name

HAMMOND

Suffix

Business Name

GERALD ELLSWORTH HAMMOND MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006