ARCHIE D ENOCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

ARCHIE D

Last Name

ENOCH

Suffix

Business Name

ARCHIE D ENOCH MD

Original Issue Date

11/23/1994

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020