PATRICK THOMAS HEALEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

THOMAS

Last Name

HEALEY

Suffix

Business Name

PATRICK THOMAS HEALEY MD

Original Issue Date

03/30/2001

Effective Date

03/30/2001

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006