LORI E SIMENAUER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

SIMENAUER

Business Name

LORI E SIMENAUER

Original Issue Date

08/13/2002

Effective Date

08/20/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017