CHARLES LEMONT BOURSIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

LEMONT

Last Name

BOURSIER

Business Name

CHARLES LEMONT BOURSIER MD

Original Issue Date

11/19/2012

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023