MYRON SIDNEY FIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

MYRON SIDNEY

Last Name

FIELDS

Suffix

Business Name

MYRON SIDNEY FIELDS MD

Original Issue Date

01/01/1997

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014