KEVIN RENARD TEAL 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

Title

First Name

KEVIN

Middle

RENARD

Last Name

TEAL

Business Name

KEVIN RENARD TEAL MD

Original Issue Date

07/09/2014

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023