MEREDITH VIOLET LAGOUROS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

MEREDITH

Middle

VIOLET

Last Name

LAGOUROS

Business Name

MEREDITH VIOLET LAGOUROS DO

Original Issue Date

06/30/2015

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023