BRIAN W COVEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

BRIAN W

Last Name

COVEY

Business Name

BRIAN W COVEY

Original Issue Date

01/30/1996

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017