ALAN BYRON DEBORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

ALAN BYRON

Last Name

DEBORD

Suffix

Business Name

ALAN BYRON DEBORD MD

Original Issue Date

01/01/1997

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023