LUNDY WADE COLVERT 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

LUNDY

Middle

WADE

Last Name

COLVERT

Suffix

Business Name

LUNDY WADE COLVERT MD

Original Issue Date

08/10/2005

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017