DAVID S AAMODT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

AAMODT

Business Name

DAVID S AAMODT

Original Issue Date

10/23/2003

Effective Date

10/23/2003

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006