DARRION J PREWITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

DARRION J

Last Name

PREWITT

Suffix

Business Name

DARRION J PREWITT MD

Original Issue Date

07/18/1994

Effective Date

07/18/1994

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006