LEWIS C HALVERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

LEWIS C

Last Name

HALVERSON

Suffix

Business Name

LEWIS C HALVERSON MD

Original Issue Date

03/03/1989

Effective Date

03/03/1989

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006