WYATT ANDREW VERPLAETSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

WYATT

Middle

ANDREW

Last Name

VERPLAETSE

Prefix

Business Name

WYATT ANDREW VERPLAETSE MD

Original Issue Date

03/11/2021

Effective Date

03/11/2021

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023