BRENON LEE ABERNATHIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

BRENON

Middle

LEE

Last Name

ABERNATHIE

Business Name

BRENON LEE ABERNATHIE MD

Original Issue Date

06/03/2023

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023