GREGORY DALE HEWITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

GREGORY DALE

Last Name

HEWITT

Suffix

Business Name

GREGORY DALE HEWITT MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006