JOSEPH M FEDER 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

JOSEPH M

Last Name

FEDER

Suffix

Business Name

JOSEPH M FEDER MD

Original Issue Date

10/29/2001

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017