TRICIA KAYE WARNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

TRICIA

Middle

KAYE

Last Name

WARNER

Suffix

Business Name

TRICIA KAYE WARNER MD

Original Issue Date

12/17/1999

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017