JACK B QUIGLEY 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

JACK B

Last Name

QUIGLEY

Suffix

Business Name

JACK B QUIGLEY MD

Original Issue Date

09/27/1988

Effective Date

09/27/1988

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020