DENISE LEE JANOSIK, MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

DENISE LEE

Last Name

JANOSIK,

Suffix

Business Name

DENISE LEE JANOSIK, MD

Original Issue Date

05/29/1996

Effective Date

05/29/1996

Expiration Date

07/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011