TERRY WAYNE LOVE DO 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

TERRY WAYNE

Last Name

LOVE

Suffix

Business Name

TERRY WAYNE LOVE DO

Original Issue Date

11/16/1984

Effective Date

11/16/1984

Expiration Date

07/31/1999

City

SENECA

State

Zip

61360

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020