MICHAEL STEVEN LANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

MICHAEL STEVEN

Last Name

LANDA

Suffix

Business Name

MICHAEL STEVEN LANDA MD

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006