MEREDITH VIOLET LAGOUROS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136776

License Status

ACTIVE

Business

Title

First Name

MEREDITH

Middle

VIOLET

Last Name

LAGOUROS

Business Name

MEREDITH VIOLET LAGOUROS DO

Original Issue Date

11/07/2014

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

07/07/2023