CHRISTINE COERVER ASSIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

COERVER

Last Name

ASSIA

Suffix

Business Name

CHRISTINE COERVER ASSIA MD

Original Issue Date

03/25/2005

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/10/2011