GENE WILLIAM SPECTOR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

GENE

Middle

WILLIAM

Last Name

SPECTOR

Business Name

GENE WILLIAM SPECTOR

Original Issue Date

09/29/1994

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017