ANTOINETTE H APPLING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

ANTOINETTE H

Last Name

APPLING

Suffix

Business Name

ANTOINETTE H APPLING MD

Original Issue Date

07/27/1990

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021