MICHAEL GARY CONTRERAS 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

MICHAEL

Middle

GARY

Last Name

CONTRERAS

Business Name

MICHAEL GARY CONTRERAS

Original Issue Date

05/09/2002

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011