PENNY A WESSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

First Name

PENNY A

Last Name

WESSON

Suffix

Business Name

PENNY A WESSON MD

Original Issue Date

03/13/1995

Effective Date

03/13/1995

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