TRENT WITTEN LEDBETTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

TRENT

Middle

WITTEN

Last Name

LEDBETTER

Business Name

TRENT WITTEN LEDBETTER DO

Original Issue Date

08/12/2023

Effective Date

08/12/2023

Expiration Date

07/31/2026

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2023