GERALD LEE EARLY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

GERALD

Middle

LEE

Last Name

EARLY

Suffix

Business Name

GERALD LEE EARLY MD

Original Issue Date

10/15/2001

Effective Date

10/15/2001

Expiration Date

07/31/2005

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006