BRENT RAY DRISKILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

BRENT

Middle

RAY

Last Name

DRISKILL

Business Name

BRENT RAY DRISKILL MD

Original Issue Date

12/06/2016

Effective Date

12/06/2016

Expiration Date

07/31/2017

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017