RICHARD W ILLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

RICHARD W

Last Name

ILLES

Suffix

Business Name

RICHARD W ILLES MD

Original Issue Date

08/30/1985

Effective Date

08/30/1985

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006