ALYSSA JANE LYNCH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

ALYSSA

Middle

JANE

Last Name

LYNCH

Business Name

ALYSSA JANE LYNCH DO

Original Issue Date

04/14/2009

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014