BRIDGET MARGARET DEWEY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

CANCELLED

Business

First Name

BRIDGET

Middle

MARGARET

Last Name

DEWEY

Business Name

BRIDGET MARGARET DEWEY

Original Issue Date

09/22/1999

Effective Date

09/22/1999

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006