WILLIAM JOSEPH STITH JR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

JOSEPH

Last Name

STITH

Suffix

JR DO

Business Name

WILLIAM JOSEPH STITH JR DO

Original Issue Date

10/20/2009

Effective Date

10/20/2009

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011