MELISSA MARJORIE MORSE AGOUDEMOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARJORIE MORSE

Last Name

AGOUDEMOS

Suffix

Business Name

MELISSA MARJORIE MORSE AGOUDEMOS MD

Original Issue Date

04/12/2010

Effective Date

05/30/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017