LENORE A IVERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

LENORE A

Last Name

IVERSEN

Suffix

Business Name

LENORE A IVERSEN MD

Original Issue Date

05/06/1986

Effective Date

05/06/1986

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006