ADAM S. EVANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

Last Name

EVANS

Business Name

ADAM S. EVANS MD

Original Issue Date

06/15/2020

Effective Date

06/15/2020

Expiration Date

07/31/2023

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023