LAURENCE R AVINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

LAURENCE R

Last Name

AVINS

Suffix

Business Name

LAURENCE R AVINS MD

Original Issue Date

10/21/1985

Effective Date

10/21/1985

Expiration Date

07/31/2008

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008