HAVNER H PARISH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

HAVNER H

Last Name

PARISH

Suffix

Business Name

HAVNER H PARISH MD

Original Issue Date

12/12/1995

Effective Date

12/12/1995

Expiration Date

07/31/1996

City

MOLINE

State

Zip

61625

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006