EMILIE J REDDING 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

EMILIE J

Last Name

REDDING

Business Name

EMILIE J REDDING

Original Issue Date

12/01/1997

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

PETERSBURG

State

Zip

62675

County

MENARD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021