LAMBERT-IAN PASCO SANTOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

LAMBERT-IAN

Middle

PASCO

Last Name

SANTOS

Business Name

LAMBERT-IAN PASCO SANTOS MD

Original Issue Date

09/23/2014

Effective Date

10/13/2017

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021