BETHANY PENNINGTON HALLORAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

BETHANY

Middle

PENNINGTON

Last Name

HALLORAN

Business Name

BETHANY PENNINGTON HALLORAN MD

Original Issue Date

08/17/2022

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023