DORION E WILEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

DORION E

Last Name

WILEY

Business Name

DORION E WILEY

Original Issue Date

11/12/2015

Effective Date

08/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023