DALE KEITH JONES 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

DALE KEITH

Last Name

JONES

Suffix

Business Name

DALE KEITH JONES MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020