CODY MCEWEN CHRISTENSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

CODY

Middle

MCEWEN

Last Name

CHRISTENSEN

Business Name

CODY MCEWEN CHRISTENSEN DO

Original Issue Date

02/18/2015

Effective Date

02/18/2015

Expiration Date

07/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017