DAVID S FIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

FIELD

Suffix

Business Name

DAVID S FIELD MD

Original Issue Date

10/05/1994

Effective Date

10/05/1994

Expiration Date

07/31/1999

City

SAVANNA

State

Zip

61074

County

CARROLL

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020