WILLIAM CHARLES VINCENT 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

WILLIAM

Middle

CHARLES

Last Name

VINCENT

Suffix

Business Name

WILLIAM CHARLES VINCENT MD

Original Issue Date

02/22/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011