GAIL MARIE AMUNDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

MARIE

Last Name

AMUNDSON

Suffix

Business Name

GAIL MARIE AMUNDSON MD

Original Issue Date

05/16/2008

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011