ELLIS D MCCARTHUR 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

ELLIS

Middle

Last Name

MCCARTHUR

Suffix

Business Name

ELLIS D MCCARTHUR MD

Original Issue Date

04/29/2005

Effective Date

04/29/2005

Expiration Date

07/31/2008

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008