JAMES EDWARD SEGRIST 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

JAMES EDWARD

Last Name

SEGRIST

Suffix

Business Name

JAMES EDWARD SEGRIST MD

Original Issue Date

07/20/1982

Effective Date

09/03/2008

Expiration Date

07/31/2011

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011