ALAN JEROME CONRAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

ALAN JEROME

Last Name

CONRAD

Suffix

Business Name

ALAN JEROME CONRAD MD

Original Issue Date

08/19/1981

Effective Date

08/19/1981

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006