JEFFREY STEPHEN PEVNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JEFFREY STEPHEN

Last Name

PEVNICK

Suffix

Business Name

JEFFREY STEPHEN PEVNICK MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006