ADELINA MARIE EMMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

ADELINA

Middle

MARIE

Last Name

EMMI

Business Name

ADELINA MARIE EMMI MD

Original Issue Date

10/01/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021