RAPHAEL T SCHEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

RAPHAEL

Middle

Last Name

SCHEIN

Suffix

Business Name

RAPHAEL T SCHEIN MD

Original Issue Date

09/11/2000

Effective Date

09/11/2000

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006