JILL M WAHL 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

First Name

JILL

Middle

Last Name

WAHL

Suffix

Business Name

JILL M WAHL MD

Original Issue Date

12/31/1997

Effective Date

07/25/2008

Expiration Date

07/31/2011

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020