JAMES DOUGLAS AUSFAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

JAMES DOUGLAS

Last Name

AUSFAHL

Suffix

Business Name

JAMES DOUGLAS AUSFAHL MD

Original Issue Date

07/24/1990

Effective Date

07/24/1990

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020