ROY CLARENCE OSTBERG MD 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

ROY CLARENCE

Last Name

OSTBERG

Suffix

Business Name

ROY CLARENCE OSTBERG MD

Original Issue Date

11/25/1985

Effective Date

11/25/1985

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017