LOIS ARCHER KILLEWICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

LOIS

Middle

ARCHER

Last Name

KILLEWICH

Business Name

LOIS ARCHER KILLEWICH MD

Original Issue Date

10/15/2015

Effective Date

10/15/2015

Expiration Date

07/31/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017