HOUSTON HOOD MACINTOSH MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

INOPERATIVE

Business

First Name

HOUSTON HOOD

Last Name

MACINTOSH

Suffix

Business Name

HOUSTON HOOD MACINTOSH MD

Original Issue Date

08/10/1995

Effective Date

08/10/1995

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006