THORDUR S AGUSTSSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

THORDUR S

Last Name

AGUSTSSON

Suffix

Business Name

THORDUR S AGUSTSSON MD

Original Issue Date

07/25/1996

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

ROCK CITY

State

Zip

61070

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017