EAREL M BELFORD JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

EAREL M

Last Name

BELFORD JR

Business Name

EAREL M BELFORD JR

Original Issue Date

05/16/1986

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021