DEBORAH S ALT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

CANCELLED

Business

First Name

DEBORAH S

Last Name

ALT

Suffix

Business Name

DEBORAH S ALT MD

Original Issue Date

10/25/1991

Effective Date

10/25/1991

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006