CHRIS C DAVLANTES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

CHRIS C

Last Name

DAVLANTES

Business Name

CHRIS C DAVLANTES

Original Issue Date

09/20/1995

Effective Date

09/20/1995

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006