RONALD T STAUBLY 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

RONALD T

Last Name

STAUBLY

Suffix

Business Name

RONALD T STAUBLY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006