KERRILYN TARGOS HEWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

KERRILYN

Middle

TARGOS

Last Name

HEWELL

Business Name

KERRILYN TARGOS HEWELL MD

Original Issue Date

08/11/2023

Effective Date

08/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/11/2023