PALMIRA A JANUSONIS 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

PALMIRA

Middle

Last Name

JANUSONIS

Suffix

Business Name

PALMIRA A JANUSONIS MD

Original Issue Date

05/20/2010

Effective Date

02/22/2012

Expiration Date

07/31/2014

City

HARVARD

State

Zip

60063

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014