JOSE LUIS CONDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

LUIS

Last Name

CONDE

Suffix

Business Name

JOSE LUIS CONDE MD

Original Issue Date

12/01/2004

Effective Date

12/01/2004

Expiration Date

07/31/2005

City

DU QUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006