TROY E PEQUETTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

TROY

Middle

Last Name

PEQUETTE

Suffix

Business Name

TROY E PEQUETTE MD

Original Issue Date

03/30/2016

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021