HARRY L STALEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

HARRY L

Last Name

STALEY

Suffix

Business Name

HARRY L STALEY MD

Original Issue Date

12/14/1981

Effective Date

12/14/1981

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006