ANTONIETTA L SCULIMBRENE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

ANTONIETTA L

Last Name

SCULIMBRENE

Suffix

Business Name

ANTONIETTA L SCULIMBRENE MD

Original Issue Date

03/22/1990

Effective Date

03/22/1990

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006