DAVID WILLIAM POPP 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

Title

First Name

DAVID

Middle

WILLIAM

Last Name

POPP

Business Name

DAVID WILLIAM POPP MD

Original Issue Date

03/29/2012

Effective Date

03/29/2012

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017