ASUNCION U DEWITT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

ASUNCION U

Last Name

DEWITT

Business Name

ASUNCION U DEWITT

Original Issue Date

01/01/1997

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021