JEAN-PHILIPPE AUSTIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

Title

First Name

JEAN-PHILIPPE

Last Name

AUSTIN

Business Name

JEAN-PHILIPPE AUSTIN MD

Original Issue Date

09/25/1996

Effective Date

09/25/1996

Expiration Date

07/31/2005

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006