DAVE A DEANGELES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

DAVE

Middle

Last Name

DEANGELES

Business Name

DAVE A DEANGELES

Original Issue Date

05/15/2007

Effective Date

05/15/2007

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/06/2008