JAMES DOUGLAS AUSFAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

JAMES DOUGLAS

Last Name

AUSFAHL

Suffix

Business Name

JAMES DOUGLAS AUSFAHL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

LACON

State

Zip

61540

County

MARSHALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020