IVAN B SCHALLER MD 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

IVAN B

Last Name

SCHALLER

Suffix

Business Name

IVAN B SCHALLER MD

Original Issue Date

05/25/1983

Effective Date

05/25/1983

Expiration Date

07/31/1987

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006