CANDYCE LA VERNE ACKLAND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

CANCELLED

Business

First Name

CANDYCE

Middle

LA VERNE

Last Name

ACKLAND

Suffix

Business Name

CANDYCE LA VERNE ACKLAND MD

Original Issue Date

12/24/1997

Effective Date

12/24/1997

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006