WILLIAM PAUL BUCKLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

PAUL

Last Name

BUCKLEY

Suffix

Business Name

WILLIAM PAUL BUCKLEY MD

Original Issue Date

09/10/1998

Effective Date

09/10/1998

Expiration Date

07/31/2002

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006