LAWRENCE D ATHERTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

LAWRENCE D

Last Name

ATHERTON

Suffix

Business Name

LAWRENCE D ATHERTON MD

Original Issue Date

07/13/1989

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023