ALLAN R MOTTRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

Last Name

MOTTRAM

Suffix

Business Name

ALLAN R MOTTRAM MD

Original Issue Date

03/16/2007

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021