BARRY M REBECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

BARRY M

Last Name

REBECK

Suffix

Business Name

BARRY M REBECK MD

Original Issue Date

03/11/1986

Effective Date

03/11/1986

Expiration Date

07/31/1993

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006