AMY B STANFILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

STANFILL

Suffix

Business Name

AMY B STANFILL MD

Original Issue Date

06/15/2007

Effective Date

08/09/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014