LEONA E CROSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

LEONA E

Last Name

CROSS

Suffix

Business Name

LEONA E CROSS MD

Original Issue Date

09/03/1991

Effective Date

09/03/1991

Expiration Date

07/31/2005

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006