ALAN GENE MOWBRAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ALAN GENE

Last Name

MOWBRAY

Suffix

Business Name

ALAN GENE MOWBRAY MD

Original Issue Date

05/04/1983

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

MACHESNEY PARK

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014