ALAN JAY HELRICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

JAY

Last Name

HELRICH

Suffix

Business Name

ALAN JAY HELRICH MD

Original Issue Date

10/06/2004

Effective Date

10/06/2004

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006