PHILIP RANDALL SEAVER JR MD 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

PHILIP

Middle

RANDALL

Last Name

SEAVER

Suffix

JR MD

Business Name

PHILIP RANDALL SEAVER JR MD

Original Issue Date

11/17/1998

Effective Date

11/17/1998

Expiration Date

07/31/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006