MICHELE LEE HINES MD 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

MICHELE LEE

Last Name

HINES

Suffix

Business Name

MICHELE LEE HINES MD

Original Issue Date

11/22/1996

Effective Date

11/22/1996

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

10/09/2006