THERESE R TRENHAILE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

THERESE

Middle

Last Name

TRENHAILE

Suffix

Business Name

THERESE R TRENHAILE MD

Original Issue Date

05/13/2002

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020