PHILLIP DREW PAWSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

DREW

Last Name

PAWSON

Business Name

PHILLIP DREW PAWSON

Original Issue Date

02/22/2008

Effective Date

10/29/2012

Expiration Date

07/31/2014

City

DELAVAN

State

Zip

61734

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020