CHRISOTPHER B STROUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

CHRISOTPHER B

Last Name

STROUD

Suffix

Business Name

CHRISOTPHER B STROUD MD

Original Issue Date

01/29/1997

Effective Date

01/29/1997

Expiration Date

07/31/1999

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006