DAVID PAUL MARGRAF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

CANCELLED

Business

First Name

DAVID

Middle

PAUL

Last Name

MARGRAF

Suffix

Business Name

DAVID PAUL MARGRAF MD

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006