LINDA DIANE HODGES DO 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

Title

First Name

LINDA

Middle

DIANE

Last Name

HODGES

Business Name

LINDA DIANE HODGES DO

Original Issue Date

09/01/2011

Effective Date

09/01/2011

Expiration Date

07/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014