CAROLYN LECOUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

CAROLYN

Last Name

LECOUR

Suffix

Business Name

CAROLYN LECOUR MD

Original Issue Date

02/28/2002

Effective Date

02/28/2002

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017