ALEX BRIAN WILLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

ALEX

Middle

BRIAN

Last Name

WILLIS

Business Name

ALEX BRIAN WILLIS MD

Original Issue Date

09/19/2022

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/22/2023