MICHAEL R TREANOR 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

First Name

MICHAEL R

Last Name

TREANOR

Business Name

MICHAEL R TREANOR

Original Issue Date

03/31/1993

Effective Date

03/31/1993

Expiration Date

07/31/1999

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020