JEFFREY M MYERS DPM 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

JEFFREY

Middle

Last Name

MYERS

Suffix

DPM MD

Business Name

JEFFREY M MYERS DPM MD

Original Issue Date

12/22/1989

Effective Date

12/22/1989

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006