ALBERT B EMPEDRAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

ALBERT

Middle

Last Name

EMPEDRAD

Suffix

Business Name

ALBERT B EMPEDRAD MD

Original Issue Date

10/16/2001

Effective Date

10/16/2001

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008