DAVID T ACKLEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ACKLEY

Business Name

DAVID T ACKLEY

Original Issue Date

07/03/2002

Effective Date

07/03/2002

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011