PATRICIA J OMORCHOE 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

PATRICIA J

Last Name

OMORCHOE

Business Name

PATRICIA J OMORCHOE

Original Issue Date

01/04/1984

Effective Date

01/04/1984

Expiration Date

07/31/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006