ALEXIS RENEE PRIDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

ALEXIS

Middle

RENEE

Last Name

PRIDDY

Business Name

ALEXIS RENEE PRIDDY MD

Original Issue Date

11/13/2024

Effective Date

11/13/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2024