WILLIAM PERRY KILLAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

PERRY

Last Name

KILLAM

Suffix

Business Name

WILLIAM PERRY KILLAM MD

Original Issue Date

06/06/2001

Effective Date

06/06/2001

Expiration Date

07/31/2002

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006