ALAN R DRAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

ALAN R

Last Name

DRAKE

Suffix

Business Name

ALAN R DRAKE MD

Original Issue Date

08/16/1983

Effective Date

08/16/1983

Expiration Date

07/31/1987

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006