TIM J VEGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

TIM J

Last Name

VEGA

Suffix

Business Name

TIM J VEGA MD

Original Issue Date

12/29/1988

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020