DIONNA MARIE PENDLETON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

DIONNA

Middle

MARIE

Last Name

PENDLETON

Suffix

Business Name

DIONNA MARIE PENDLETON MD

Original Issue Date

11/01/2024

Effective Date

11/01/2024

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2024