CHRISTY A OLIPHANT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

CHRISTY

Middle

Last Name

OLIPHANT

Business Name

CHRISTY A OLIPHANT

Original Issue Date

08/29/2006

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023