LAJON D ADDISON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

LAJON

Middle

Last Name

ADDISON

Business Name

LAJON D ADDISON DO

Original Issue Date

02/11/1999

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017