LEE WALTER HAMMOND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

CANCELLED

Business

First Name

LEE WALTER

Last Name

HAMMOND

Suffix

Business Name

LEE WALTER HAMMOND MD

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/31/2005

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006