EDWARD W PEGG IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141863

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

Last Name

PEGG

Prefix

Suffix

Business Name

EDWARD W PEGG IV MD

Original Issue Date

10/18/2016

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

PEORIA

Ever Disciplined

LastModifiedDate

07/06/2023