LISA M ALFORD 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

LISA M

Last Name

ALFORD

Suffix

Business Name

LISA M ALFORD MD

Original Issue Date

12/19/1996

Effective Date

12/19/1996

Expiration Date

07/31/1999

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006