JEFFREY H AGEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

JEFFREY H

Last Name

AGEE

Suffix

Business Name

JEFFREY H AGEE MD

Original Issue Date

03/08/2004

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014