RICHARD W TWANOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

RICHARD W

Last Name

TWANOW

Suffix

Business Name

RICHARD W TWANOW MD

Original Issue Date

07/12/2002

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020