PETER J POPOVICH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

CANCELLED

Business

First Name

PETER J

Last Name

POPOVICH

Business Name

PETER J POPOVICH

Original Issue Date

07/03/1995

Effective Date

07/03/1995

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006