HERBERT FOX IKNAYAN 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

HERBERT FOX

Last Name

IKNAYAN

Suffix

Business Name

HERBERT FOX IKNAYAN MD

Original Issue Date

06/21/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011