EVAN PETER LAGOUROS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

EVAN

Middle

PETER

Last Name

LAGOUROS

Business Name

EVAN PETER LAGOUROS MD

Original Issue Date

10/14/2014

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023