TIMOTHY R SONCASIE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

CANCELLED

Business

First Name

TIMOTHY R

Last Name

SONCASIE

Business Name

TIMOTHY R SONCASIE

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

07/31/1999

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006