JERRY MILTON INGALLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

JERRY MILTON

Last Name

INGALLS

Suffix

Business Name

JERRY MILTON INGALLS MD

Original Issue Date

08/31/1981

Effective Date

08/31/1981

Expiration Date

07/31/1993

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006