DAVID C AUTRY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

AUTRY

Business Name

DAVID C AUTRY

Original Issue Date

05/13/2002

Effective Date

05/13/2002

Expiration Date

07/31/2008

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008