VANESSA L BUSH PITTS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

VANESSA L

Last Name

BUSH PITTS

Business Name

VANESSA L BUSH PITTS

Original Issue Date

08/01/1983

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023