TOBY MEREDITH MILGROME Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

TOBY MEREDITH

Last Name

MILGROME

Business Name

TOBY MEREDITH MILGROME

Original Issue Date

01/14/1998

Effective Date

01/14/1998

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