BRUCE ALLEN STAYTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

BRUCE ALLEN

Last Name

STAYTON

Suffix

Business Name

BRUCE ALLEN STAYTON MD

Original Issue Date

10/01/1981

Effective Date

10/01/1981

Expiration Date

09/01/1982

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006