ASSIS SOARES MD 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

ASSIS

Last Name

SOARES

Suffix

Business Name

ASSIS SOARES MD

Original Issue Date

08/25/1981

Effective Date

08/25/1981

Expiration Date

09/01/1982

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006