WILLIAM LEROY BUNTAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

LEROY

Last Name

BUNTAIN

Business Name

WILLIAM LEROY BUNTAIN MD

Original Issue Date

01/28/2013

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017