ANDREA GAIL LAMPHIEAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

GAIL

Last Name

LAMPHIEAR

Business Name

ANDREA GAIL LAMPHIEAR MD

Original Issue Date

05/13/2013

Effective Date

05/13/2013

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014