RICHARD L CARPENTER 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

RICHARD L

Last Name

CARPENTER

Suffix

Business Name

RICHARD L CARPENTER MD

Original Issue Date

06/26/1981

Effective Date

06/26/1981

Expiration Date

07/31/1984

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006