JONATHAN MORSE ARCHIBALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

MORSE

Last Name

ARCHIBALD

Suffix

Business Name

JONATHAN MORSE ARCHIBALD MD

Original Issue Date

02/03/1999

Effective Date

02/03/1999

Expiration Date

07/31/1999

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006