LYNN ANNETTE PITTMAN DO 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

LYNN

Middle

ANNETTE

Last Name

PITTMAN

Suffix

Business Name

LYNN ANNETTE PITTMAN DO

Original Issue Date

06/01/2004

Effective Date

01/17/2019

Expiration Date

09/30/2020

City

SUMNER

State

Zip

62466

County

LAWRENCE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021