DONALD W LEMOINE II Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

LEMOINE

Suffix

Business Name

DONALD W LEMOINE II

Original Issue Date

09/01/2010

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/24/2020