BYRON MARK VANCE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

CANCELLED

Business

First Name

BYRON

Middle

MARK

Last Name

VANCE

Suffix

Business Name

BYRON MARK VANCE MD

Original Issue Date

07/31/1998

Effective Date

07/31/1998

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006