ABIGAIL BREA SEBALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

ABIGAIL

Middle

BREA

Last Name

SEBALD

Business Name

ABIGAIL BREA SEBALD MD

Original Issue Date

11/19/2022

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023