ALFRED ANTHONY PAUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

ALFRED ANTHONY

Last Name

PAUL

Suffix

Business Name

ALFRED ANTHONY PAUL MD

Original Issue Date

05/11/1995

Effective Date

05/11/1995

Expiration Date

07/31/2002

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006