EDWARD W PEGG III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

EDWARD W

Last Name

PEGG III

Suffix

Business Name

EDWARD W PEGG III MD

Original Issue Date

07/15/1985

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61702

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023