RICHARD PENN EMBREY 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

RICHARD

Middle

PENN

Last Name

EMBREY

Suffix

Business Name

RICHARD PENN EMBREY MD

Original Issue Date

09/18/2000

Effective Date

09/18/2000

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020