RICHARD FREDERICK AMMAR JR 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

RICHARD

Middle

FREDERICK

Last Name

AMMAR

Suffix

JR MD

Business Name

RICHARD FREDERICK AMMAR JR MD

Original Issue Date

11/22/1999

Effective Date

11/22/1999

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011