GARRETT LEWIS MARR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

GARRETT LEWIS

Last Name

MARR

Suffix

Business Name

GARRETT LEWIS MARR MD

Original Issue Date

06/22/1983

Effective Date

06/22/1983

Expiration Date

07/31/1987

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006