LAYNE T LOVELL MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

INOPERATIVE

Business

First Name

LAYNE T

Last Name

LOVELL

Suffix

Business Name

LAYNE T LOVELL MD

Original Issue Date

09/24/1981

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

FENTON

State

Zip

63026

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023