THERESA S FALCON 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

THERESA

Middle

Last Name

FALCON

Suffix

Business Name

THERESA S FALCON MD

Original Issue Date

12/22/1981

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011