MONTHER F ELBZOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MONTHER

Middle

Last Name

ELBZOUR

Suffix

Business Name

MONTHER F ELBZOUR MD

Original Issue Date

03/24/2005

Effective Date

03/24/2005

Expiration Date

07/31/2008

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020