DENVILLE ANTHONY MYRIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

DENVILLE

Middle

ANTHONY

Last Name

MYRIE

Business Name

DENVILLE ANTHONY MYRIE MD

Original Issue Date

02/21/2020

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023