LENORE EVANS GONZALEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

LENORE

Last Name

EVANS GONZALEZ

Business Name

LENORE EVANS GONZALEZ

Original Issue Date

01/01/1997

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020