LISA JUNE MOLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

JUNE

Last Name

MOLIN

Business Name

LISA JUNE MOLIN MD

Original Issue Date

10/28/2022

Effective Date

10/28/2022

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023