DAVID S FIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

FIELD

Suffix

Business Name

DAVID S FIELD MD

Original Issue Date

08/08/1995

Effective Date

07/07/2018

Expiration Date

09/30/2020

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021