MARTIN JONES LAFOLLETTE DO 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

Title

First Name

MARTIN

Middle

JONES

Last Name

LAFOLLETTE

Business Name

MARTIN JONES LAFOLLETTE DO

Original Issue Date

10/04/2012

Effective Date

10/04/2012

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014