DEB L BUCKINGHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

DEB

Middle

Last Name

BUCKINGHAM

Suffix

Business Name

DEB L BUCKINGHAM MD

Original Issue Date

10/17/2011

Effective Date

10/17/2011

Expiration Date

07/31/2014

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020