PATRICK HENRY TYRANCE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

HENRY

Last Name

TYRANCE

Suffix

JR MD

Business Name

PATRICK HENRY TYRANCE JR MD

Original Issue Date

03/25/2003

Effective Date

03/25/2003

Expiration Date

07/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006