LAWRENCE H QUIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

LAWRENCE H

Last Name

QUIST

Suffix

Business Name

LAWRENCE H QUIST MD

Original Issue Date

05/09/1984

Effective Date

05/09/1984

Expiration Date

07/31/1984

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006