LYLE JAMES DENNIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

LYLE

Middle

JAMES

Last Name

DENNIS

Business Name

LYLE JAMES DENNIS MD

Original Issue Date

08/08/2023

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2023