ROSS ALLEN PARKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

ROSS ALLEN

Last Name

PARKS

Suffix

Business Name

ROSS ALLEN PARKS MD

Original Issue Date

08/19/1993

Effective Date

08/19/1993

Expiration Date

07/31/1996

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006