TREVOR LEE TREDWAY 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

Title

First Name

TREVOR

Middle

LEE

Last Name

TREDWAY

Business Name

TREVOR LEE TREDWAY MD

Original Issue Date

12/23/2013

Effective Date

12/23/2013

Expiration Date

07/31/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020