KATHY A TRUMBULL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

TRUMBULL

Suffix

Business Name

KATHY A TRUMBULL MD

Original Issue Date

03/01/1995

Effective Date

03/01/1995

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020