THEODIS MORRIS WHEATT 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

THEODIS MORRIS

Last Name

WHEATT

Suffix

Business Name

THEODIS MORRIS WHEATT MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006