RICHARD LELAND CARTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

CANCELLED

Business

First Name

RICHARD

Middle

LELAND

Last Name

CARTER

Suffix

Business Name

RICHARD LELAND CARTER MD

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006