RICHARD SLADE WEBB JR 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

RICHARD

Middle

SLADE

Last Name

WEBB

Suffix

Business Name

RICHARD SLADE WEBB JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011