DAVID TYLER GREENFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

TYLER

Last Name

GREENFIELD

Suffix

Business Name

DAVID TYLER GREENFIELD MD

Original Issue Date

12/11/2007

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011