LESTEL MARIE ESCORCIA 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

LESTEL MARIE

Last Name

ESCORCIA

Suffix

Business Name

LESTEL MARIE ESCORCIA MD

Original Issue Date

03/31/1997

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017