WARREN J FOURNIER II Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

WARREN

Middle

Last Name

FOURNIER

Suffix

Business Name

WARREN J FOURNIER II

Original Issue Date

01/11/2006

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014