THERON L HUTTON 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

THERON

Middle

Last Name

HUTTON

Suffix

Business Name

THERON L HUTTON MD

Original Issue Date

01/10/2006

Effective Date

01/10/2006

Expiration Date

07/31/2008

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011