CARLOS A OMPHROY 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

CARLOS A

Last Name

OMPHROY

Suffix

Business Name

CARLOS A OMPHROY MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006