BARRY DOUGLAS FREE MD 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

First Name

BARRY DOUGLAS

Last Name

FREE

Suffix

Business Name

BARRY DOUGLAS FREE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

PETERSBURG

State

Zip

62675

County

MENARD

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/07/2011

Case Number

1986000742

Action

Probation

Discipline Start Date

12/23/1986

Discipline End Date

12/23/1989