LANCE E CORDONI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

CANCELLED

Business

First Name

LANCE E

Last Name

CORDONI

Suffix

Business Name

LANCE E CORDONI MD

Original Issue Date

03/11/1992

Effective Date

03/11/1992

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006