RICHARD A COVERT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

CANCELLED

Business

First Name

RICHARD A

Last Name

COVERT

Suffix

Business Name

RICHARD A COVERT MD

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

07/31/2005

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006