DAVID C SLAGLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

DAVID C

Last Name

SLAGLE

Suffix

Business Name

DAVID C SLAGLE MD

Original Issue Date

09/06/1996

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023