JOHN DEMENT UTLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

DEMENT

Last Name

UTLEY

Business Name

JOHN DEMENT UTLEY MD

Original Issue Date

01/01/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

I II III IV

Ever Disciplined

LastModifiedDate

04/07/2011