ANNEVAY DELLORA CONLEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

ANNEVAY

Middle

DELLORA

Last Name

CONLEE

Business Name

ANNEVAY DELLORA CONLEE MD

Original Issue Date

02/24/2016

Effective Date

10/09/2018

Expiration Date

09/30/2020

City

WOODHULL

State

Zip

61490

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021