JAMES WARREN BRECKENRIDGE 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

JAMES WARREN

Last Name

BRECKENRIDGE

Suffix

Business Name

JAMES WARREN BRECKENRIDGE MD

Original Issue Date

01/01/1997

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014