APPROVED HOSPITAL SUPERIOR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Business Name

APPROVED HOSPITAL SUPERIOR

Original Issue Date

01/01/2017

Effective Date

01/01/2017

Expiration Date

01/01/2999

City

SPRINGFIELD

State

Zip

62786

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2017