RICHARD DAVID ROLSTON 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

Title

First Name

RICHARD

Middle

DAVID

Last Name

ROLSTON

Business Name

RICHARD DAVID ROLSTON MD

Original Issue Date

05/26/2009

Effective Date

05/26/2009

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017