RAQUEL M PASIMIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

RAQUEL

Middle

Last Name

PASIMIO

Suffix

Business Name

RAQUEL M PASIMIO MD

Original Issue Date

08/06/2004

Effective Date

08/06/2004

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008