LAFAYETTE JAMES TWYNER JR. MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

LAFAYETTE

Middle

JAMES

Last Name

TWYNER

Suffix

JR. MD

Business Name

LAFAYETTE JAMES TWYNER JR. MD

Original Issue Date

03/22/1982

Effective Date

03/22/1982

Expiration Date

07/31/1990

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006