DAVID C SLAGLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

SLAGLE

Suffix

Business Name

DAVID C SLAGLE MD

Original Issue Date

08/02/1993

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61656

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020