KYLE WESLEY SANDERS 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

Title

First Name

KYLE

Middle

WESLEY

Last Name

SANDERS

Business Name

KYLE WESLEY SANDERS MD

Original Issue Date

06/03/2016

Effective Date

06/16/2017

Expiration Date

09/30/2020

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021