TRENT WITTEN LEDBETTER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078396

License Status

CANCELLED

Business

Title

First Name

TRENT

Middle

WITTEN

Last Name

LEDBETTER

Business Name

TRENT WITTEN LEDBETTER DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/15/2021