LINDA J DELACOURT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

CANCELLED

Business

First Name

LINDA

Middle

Last Name

DELACOURT

Suffix

Business Name

LINDA J DELACOURT MD

Original Issue Date

09/08/2004

Effective Date

09/08/2004

Expiration Date

07/31/2005

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006