THORDUR S AGUSTSSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

THORDUR S

Last Name

AGUSTSSON

Suffix

Business Name

THORDUR S AGUSTSSON MD

Original Issue Date

11/05/1985

Effective Date

11/05/1985

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017