JAIME-DAWN EILEEN TWANOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

JAIME-DAWN

Middle

EILEEN

Last Name

TWANOW

Business Name

JAIME-DAWN EILEEN TWANOW MD

Original Issue Date

07/13/2010

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017