BARRY M REBECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

BARRY M

Last Name

REBECK

Suffix

Business Name

BARRY M REBECK MD

Original Issue Date

11/17/1987

Effective Date

11/17/1987

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006