VIRGINIA E STULL 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

VIRGINIA E

Last Name

STULL

Business Name

VIRGINIA E STULL

Original Issue Date

12/16/1987

Effective Date

12/16/1987

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006