PETER BOSWELL HARDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

BOSWELL

Last Name

HARDIN

Business Name

PETER BOSWELL HARDIN MD

Original Issue Date

10/15/1996

Effective Date

10/15/1996

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017