LAVERNE R LOVELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

LAVERNE

Middle

Last Name

LOVELL

Suffix

Business Name

LAVERNE R LOVELL MD

Original Issue Date

01/20/1998

Effective Date

01/20/1998

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006