STANLEY G NORMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

CANCELLED

Business

First Name

STANLEY G

Last Name

NORMAN

Suffix

Business Name

STANLEY G NORMAN MD

Original Issue Date

06/17/1993

Effective Date

06/17/1993

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008