JOHN H MONTGOMERY III 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

JOHN H

Last Name

MONTGOMERY III

Suffix

Business Name

JOHN H MONTGOMERY III MD

Original Issue Date

09/28/1981

Effective Date

09/28/1981

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006