BRENT LEE PENNINGTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

BRENT

Middle

LEE

Last Name

PENNINGTON

Business Name

BRENT LEE PENNINGTON MD

Original Issue Date

07/26/2011

Effective Date

08/18/2014

Expiration Date

07/31/2017

City

GREENVILLE

State

Zip

62246

County

BOND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017