JOHN G HALVORSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

JOHN G

Last Name

HALVORSEN

Suffix

Business Name

JOHN G HALVORSEN MD

Original Issue Date

09/29/1994

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011