GROVER C DILS 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

GROVER C

Last Name

DILS

Business Name

GROVER C DILS

Original Issue Date

10/20/1995

Effective Date

10/20/1995

Expiration Date

07/31/1996

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006