ESTHER E SEO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

ESTHER

Middle

Last Name

SEO

Business Name

ESTHER E SEO

Original Issue Date

09/09/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011