BETHANIE NICHOLE MORGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

BETHANIE

Middle

NICHOLE

Last Name

MORGAN

Business Name

BETHANIE NICHOLE MORGAN MD

Original Issue Date

01/27/2017

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021