LORI A TEVERBAUGH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

LORI

Middle

Last Name

TEVERBAUGH

Business Name

LORI A TEVERBAUGH MD

Original Issue Date

03/25/2003

Effective Date

08/09/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2023