RAYMOND BERNARD WYNN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

RAYMOND

Middle

BERNARD

Last Name

WYNN

Business Name

RAYMOND BERNARD WYNN MD

Original Issue Date

03/16/2017

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023