EDWARD W PEGG IV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062507

License Status

CANCELLED

Business

Title

First Name

EDWARD

Middle

Last Name

PEGG

Prefix

Suffix

Business Name

EDWARD W PEGG IV MD

Original Issue Date

01/01/2013

Effective Date

01/01/2013

Expiration Date

12/31/2016

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/24/2014