JO A MCCALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

MCCALLA

Suffix

Business Name

JO A MCCALLA MD

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008