THEODORE CHARLES LITTLE 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

THEODORE

Middle

CHARLES

Last Name

LITTLE

Suffix

Business Name

THEODORE CHARLES LITTLE MD

Original Issue Date

01/01/1997

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/10/2011

Case Number

1985000576

Action

Probation

Discipline Start Date

07/06/1987

Discipline End Date

07/06/1989