ALPHEUS BENJAMIN APPENHEIMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

ALPHEUS

Middle

BENJAMIN

Last Name

APPENHEIMER

Business Name

ALPHEUS BENJAMIN APPENHEIMER MD

Original Issue Date

06/20/2013

Effective Date

06/20/2013

Expiration Date

07/31/2014

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014