DONALD RAY ELDER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

RAY

Last Name

ELDER

Business Name

DONALD RAY ELDER

Original Issue Date

02/15/2002

Effective Date

05/31/2017

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021