LAURIE A TROUP Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

CANCELLED

Business

First Name

LAURIE

Middle

Last Name

TROUP

Business Name

LAURIE A TROUP

Original Issue Date

10/01/2008

Effective Date

10/01/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011