GILES RICHARD LOCKE 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

GILES RICHARD

Last Name

LOCKE

Suffix

Business Name

GILES RICHARD LOCKE MD

Original Issue Date

01/01/1997

Effective Date

08/21/2008

Expiration Date

07/31/2011

City

DECATUR

State

Zip

62525

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011