ALLAN DEAN PACKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

DEAN

Last Name

PACKER

Suffix

Business Name

ALLAN DEAN PACKER MD

Original Issue Date

07/17/2007

Effective Date

07/17/2007

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008