JOSEPH N FIELDS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

JOSEPH N

Last Name

FIELDS III

Suffix

Business Name

JOSEPH N FIELDS III MD

Original Issue Date

05/16/1988

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014