MARJORIE R SHREVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

MARJORIE R

Last Name

SHREVE

Suffix

Business Name

MARJORIE R SHREVE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006