JILLIAN CHRISTINE STALLING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

JILLIAN

Middle

CHRISTINE

Last Name

STALLING

Business Name

JILLIAN CHRISTINE STALLING MD

Original Issue Date

07/15/2011

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021