DAVID MICHAEL BARBARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

MICHAEL

Last Name

BARBARA

Suffix

Business Name

DAVID MICHAEL BARBARA MD

Original Issue Date

05/15/2006

Effective Date

05/15/2006

Expiration Date

07/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011