SHENIQUA L N DRAKEFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

Title

First Name

SHENIQUA

Middle

L N

Last Name

DRAKEFORD

Business Name

SHENIQUA L N DRAKEFORD MD

Original Issue Date

11/18/2020

Effective Date

11/18/2020

Expiration Date

07/31/2023

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023