KRISTEN J TOWNLEY 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

KRISTEN

Middle

Last Name

TOWNLEY

Business Name

KRISTEN J TOWNLEY

Original Issue Date

04/06/2004

Effective Date

04/06/2004

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006