TOMMY LYNN WEST 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

TOMMY LYNN

Last Name

WEST

Business Name

TOMMY LYNN WEST

Original Issue Date

06/26/1985

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021