NICOLAS LLORENS 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

First Name

NICOLAS

Last Name

LLORENS

Suffix

Business Name

NICOLAS LLORENS MD

Original Issue Date

03/28/1991

Effective Date

03/28/1991

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006