KRYNN KELLER BUCKLEY PECHOUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

KRYNN

Middle

KELLER

Last Name

BUCKLEY PECHOUS

Suffix

Business Name

KRYNN KELLER BUCKLEY PECHOUS MD

Original Issue Date

09/25/2009

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014