DIANE JENNIFER SANTORINEOS 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

DIANE

Middle

JENNIFER

Last Name

SANTORINEOS

Business Name

DIANE JENNIFER SANTORINEOS

Original Issue Date

05/12/2006

Effective Date

05/21/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020