SONIA TEWANI ORCUTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

SONIA

Middle

TEWANI

Last Name

ORCUTT

Business Name

SONIA TEWANI ORCUTT MD

Original Issue Date

02/06/2017

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61606

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023