ANGEL E TAFUR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

ANGEL E

Last Name

TAFUR

Business Name

ANGEL E TAFUR

Original Issue Date

06/19/1997

Effective Date

06/19/1997

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006