DAVID JOHN SCHANZLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

DAVID JOHN

Last Name

SCHANZLIN

Suffix

Business Name

DAVID JOHN SCHANZLIN MD

Original Issue Date

09/09/1994

Effective Date

09/09/1994

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011