DONNA LYN WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

DONNA LYN

Last Name

WHITE

Suffix

Business Name

DONNA LYN WHITE MD

Original Issue Date

04/01/1996

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021