John R Soderstrom
Physician Assistant Controlled Substance(Delegated Schedules Ii Iii Iin Iiin Iv V )
Illinois 385001626 Active
This Illinois license is held by John R Soderstrom. The license is currently active. It was granted on 10/12/2006 and expired on 03/01/2018
LICENSE DETAILS
- License Number: 385001626
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE(Delegated Schedules II III IIN IIIN IV V )
- Status: Active
- Date Granted: 10/12/2006 (over 18 years ago)
- Expiry Date: 03/01/2018 (about 7 years ago)
LOCATIONS
A Address
Peoria, IL 61614-4676
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