KAREN SISTRUNK COWAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

KAREN

Last Name

SISTRUNK COWAN

Business Name

KAREN SISTRUNK COWAN

Original Issue Date

05/05/1994

Effective Date

05/05/1994

Expiration Date

07/31/1996

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006