KERI LEIGH MOUNCE 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

KERI

Middle

LEIGH

Last Name

MOUNCE

Suffix

Business Name

KERI LEIGH MOUNCE MD

Original Issue Date

04/25/2003

Effective Date

04/25/2003

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