RETTA E BRECKENRIDGE PELSANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

RETTA

Middle

Last Name

BRECKENRIDGE PELSANG

Suffix

Business Name

RETTA E BRECKENRIDGE PELSANG MD

Original Issue Date

09/14/2011

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021