AUDREY KAY MCCOY 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

First Name

AUDREY

Middle

KAY

Last Name

MCCOY

Suffix

Business Name

AUDREY KAY MCCOY MD

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006