TREVOR DOYLE TREDENNICK 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

TREVOR

Middle

DOYLE

Last Name

TREDENNICK

Suffix

Business Name

TREVOR DOYLE TREDENNICK MD

Original Issue Date

11/09/2004

Effective Date

11/09/2004

Expiration Date

07/31/2008

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008