TERRY DALE WEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

TERRY DALE

Last Name

WEST

Suffix

Business Name

TERRY DALE WEST MD

Original Issue Date

01/01/1997

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017