JOSEPH M FEDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

JOSEPH M

Last Name

FEDER

Suffix

Business Name

JOSEPH M FEDER MD

Original Issue Date

07/24/1984

Effective Date

07/24/1984

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017