CAREYANA M BRENHAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

CAREYANA

Middle

Last Name

BRENHAM

Business Name

CAREYANA M BRENHAM

Original Issue Date

12/31/2002

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023